高频超声在手部腱鞘病变诊断中的应用

Application Of High-Frequency Ultrasound In The Diagnosis Of Tendon Sheath Lesions In Hand

目的:探讨高频超声对手部腱鞘病变的诊断价值。方法:分析32例手部腱鞘病变(腱鞘炎11例,腱鞘囊肿12例,腱鞘巨细胞瘤7例,腱鞘纤维瘤2例)的超声声像图表现,评价超声诊断的正确率。结果:32例手部肿块中,高频超声对12例腱鞘囊肿均能作出正确的诊断,7例腱鞘巨细胞瘤中5例诊断正确,11例腱鞘炎10例诊断正确,2例腱鞘纤维瘤均能作出实性肿块的诊断,但病理类型不能确定。结论:高频超声在手部腱鞘病变的诊断中具有重要的临床意义。

Objective：To explore the diagnostic value of high frequency ultrasound in the lesions of the hand tendon sheath.Methods：The ultrasonographic findings of 32 cases of hand tendon sheath lesions were analyzed.Eleven cases of tenosynovitis,twelve cases of ganglion cyst,seven cases of tendon sheath giant cell tumor and two cases of tendon sheath fibroma were included in 32 cases.The accuracy of ultrasound diagnosis was evaluated.Results：High-frequency ultrasound made a correct diagnosis on 12 cases of ganglion cyst.Five cases of tendon sheath giant cell tumor in seven were diagnosed correctly.Ten cases of tenosynovitis in eleven were diagnosed correctly.Two cases of tendon sheath fibroma was correctly diagnosed as solid masses,but the pathological type can not be determined.Conclusions：High-frequency ultrasonography has important clinical significance in the diagnosis of hand tendon sheath lesions.