高频超声对浅表血管内肿瘤的诊断价值

Value of high frequency ultrasonography for diagnosis of superficial intravascular tumors

目的探讨发生于浅表血管内肿瘤的高频超声特点及临床特征。方法回顾分析2016-2020年于北京积水潭医院行超声检查的13例浅表血管内肿瘤患者病例资料,统计肿瘤发生的部位、具体解剖血管以及肿物形态、边界、大小、内部回声、血流情况和临床特点。结果13例患者的肿物多为类椭圆形或长条状,少数为类圆形。11例原发于血管内肿瘤均表现为低回声包块;2例血管内转移或复发肿瘤表现为实性低回声伴强或高回声,包括骨巨细胞瘤转移、骨肉瘤复发各1例。12例测及动脉血流频谱。2例血管球瘤患者表现为典型的固定点明显触痛。2例患者有相应上肢或下肢的骨肿瘤病史。结论高频超声能清晰分辨浅表血管内肿物发生的具体解剖位置,发现其形态特征和声像图表现,并可结合患者临床特征及既往病史作出较为准确的定性诊断。

Objective To explore the high-frequency ultrasonographic and clinical features of superficial intravascular tumors.Methods Thirteen superficial intravascular tumor patients who underwent ultrasound examination form Beijing Jishuitan Hospital during 2016-2020 were retrospectively analyzed.The location,anatomic blood vessels,shape,size,boundary,internal echo,blood flow and clinical characteristics of the tumors were analyzed.Results Among the 13 cases,most of the tumors were oval like or long strip,and a few were round like.All 11 cases of primary intravascular tumors showed hypoechoic mass;2 cases of intravascular metastasis or recurrence showed solid hypoechoic with hyperechoic mass.Arterial blood flow spectrum was detected in 12 cases.Two patients with glomus tumor showed typical tenderness at the fixed point.Two patients had a history of bone tumors in the upper or lower extremities.Conclusions High frequency ultrasound can clearly recognize the location of the superficial intravascular tumors,describe the morphological characteristics and sonographic features of the tumor,then help to make a more accurate qualitative diagnosis.