背部弹力纤维瘤50例临床分析

Clinical analysis of elastofibroma dorsi in 50 cases

目的探讨背部弹力纤维瘤的诊断及治疗方法。方法回顾性分析2004年1月-2013年12月本院收治的50例背部弹力纤维瘤患者的临床资料,总结弹力纤维瘤的临床特点、特征性的影像学表现、典型性病理改变、近远期手术疗效。结果本组50例患者依据典型的发病部位（肩胛下角区域）及影像学（B超、MRI）检查而确诊,50例均行肿物切除术,肿物直径为4-12 cm。术后并发症主要为伤口积液,本组88处病变发生伤口积液25处,发生率28.4%,18处经反复穿刺抽液治愈,7处经腔内注射曲氨奈德治愈。术后随访6个月-10年,无复发。结论肩胛下角区域是背部弹力纤维瘤的主要发病部位。依据典型的体检结果及特征性影像学表现既可作出正确诊断。手术切除肿物的近、远期效果良好。

Objective To explore the diagnostic and therapeutic methods of elastofibroma dorsi. Methods From January 2004 to December 2013,clinical data from 50 patients with elastofibroma dorsi admitted into our hospital were retro-spectively analyzed.Clinical characteristic,distinctive imaging manifestation, typical pathological change,and curative ef-fect in short/long-term surgery of elastofibroma dorsi were summarized. Results 50 participants were definitely diag-nosed by typical pathogenic site （inferior angle of scapula region） and imageology examination （B-ultrasound and MRI）. They were operated with neoplasms resection and the diameter of neoplasms ranged from 4 to 12 cm.The principal postoperative complication was wound hydrops in 25 wounds for 88 pathogenic sites occurred,and the incidence rate was 28.4%.Among them,18 sites were cured by repeated puncture and drainage,and 7 sites were cured by intracavitary injection of triamcinolone acetonide.Patients were followed up for 6 months to 10 years,and there was no recurrent case. Conclusion Area of inferior angle of scapula is a principal pathogenic site of elastofibroma dorsi,which can be correctly diagnosed by typical physical examination results and characterized imaging manifestations.Neoplasm is removed by surgery can obtain a good short/long-term effect.