乳腺癌术后患侧上肢淋巴水肿的超声诊断

Diagnosis of upper limb lymphedema after breast cancer operation by ultrasonography

目的:探讨超声显像在乳腺癌术后患侧上肢淋巴水肿的诊断与鉴别诊断中的应用价值。方法:对18例上肢淋巴水肿患者的声像图特征进行回顾性分析。结果:18例乳腺癌术后患侧上肢淋巴水肿声像图表现为:皮肤、皮下组织及深筋膜均增厚,增厚的皮下组织内可见裂隙样无回声,筋膜下肌肉组织回声模糊,纹理不清。结论:超声在乳腺癌术后患侧上肢淋巴水肿的诊断中具有重要意义,其声像图具有特征性。

Objective ：To evaluate the application of sonographic imaging in the diagnosis and differential diagnosis of upper limb lymphedema after breast cancer operation. Methods： Uhrasonographic features of 18 patients with upper limb lymphedema were retrospectively analyzed. Results： Features of lymphedema sonogram of 18 cases with upper limb were mainly ： skin, subcutaneous tissue and deep fascia were thickened; In the thickened subcutaneous tissue we can see the no echo crack; Under the fascia muscle tissue echoes blurred, the texture was not clear. Conelusion： Ultrasound plays an important role in the diagnosis for breast cancer affected side upper limb lymphedema; Characteristic features are showed in the sonogram images.