超声在浅表组织肿块中的应用价值

Ultrasonographic value on superficial tissue masses

目的探讨超声检查在浅表组织肿块的应用价值。方法对51例浅表组织肿块作超声检查,全部病例经穿刺或手术后病理检查确诊。结果良性肿块49例,以脂肪瘤、表皮样囊肿、腘窝囊肿为多见;恶性肿块2例。51例肿块中,仅7例显示血流信号。结论浅表组织肿块成分来源复杂,声像图缺乏特征,病理诊断较困难,但一些常见疾病如脂肪瘤、表皮样囊肿等声像图各有其特点,对临床诊断可提供依据。对需穿刺的病灶超声可以确定进针部位及深度。检查过程中可以与健侧相应部位作对照,是诊断浅表组织肿块的首选方法。

Objective To investigate the uhrasonographic value in the diagnosis of superficial tissue masses. Methods Totally 51 cases with superficial tissue masses were examined by ultrasound and confirmed by surgery or biopsy pathology. Results There were 49 cases of benign masses, most of which were lipoma, epidermoid cyst and popliteal cyst. There were 2 cases of malignant masses. In the 51 cases, only 7 showed blood flow signals on color Doppler flow imaging. Conclusion Superficial tissue masses show no specific features on ultrasonography, because of the complex ingredients. Therefore, it is hard to provide pathological diagnosis. However, uhrasonography is highly valuable in the diagnosis of some common diseases, such as lipoma, epidermoid cyst. Uhrasonography is accurate in show location and depth before aspiration. Uhrasonography has the unique advantage of comparing with contralateral similar position and can be used as the first choice method in the diagnosis of superficial tissue masses.