彩色多普勒超声诊断仪对浅表软组织肿物患者检查的诊断价值

The Diagnostic Value of Color Doppler Ultrasound in the Examination of Patients with Superficial Soft Tissue Tumors

目的:研究彩色多普勒超声诊断仪对浅表软组织肿物患者检查的诊断价值。方法:选取东莞市第八人民医院(东莞市儿童医院)2019年7月~2020年7月收治的101例浅表软组织肿物患者进行回顾性分析,诊断“金标准”是病理学诊断,均行高频超声检查,分析最终诊断结果以及良性肿物、恶性肿物的超声表现与血流信号分级。结果:(1)经病理学诊断确诊,良性肿物92例,良性率91.09%;恶性肿物9例,恶性率9.91%;(2)良性肿物术前超声诊断与术后病理相符83例,符合率90.22%,其中结核性淋巴结、脂肪瘤、腱鞘囊肿、鳃裂囊肿、淋巴管瘤、单纯性脓肿、炎性包块、钙化性上皮瘤、坐骨结节囊肿、附耳与病理学诊断完全相符(100.00%);恶性肿物术前超声诊断与术后病理相符有5例,符合率55.56%,其中淋巴瘤、转移癌、转移性淋巴结与病理学诊断完全相符(100.00%);(3)与良性肿物比较,恶性肿物呈不规则形态、边界粗糙、内部低回声,两者比较显示差异均具有统计学意义(P<0.05);(4)与良性肿物比较,恶性肿物的血流信号分级更高,显示差异具有统计学意义(P<0.05)。结论:高频超声检查浅表软组织肿物能提高疾病确诊率,有助于分辨良恶性肿物、改善预后,值得借鉴。

Objective:To study the diagnostic value of color Doppler ultrasound in the examination of patients with superficial soft tissue tumors.Methods:A retrospective analysis of 101 patients with superficial soft tissue masses admitted to the Eighth People’s Hospital of Dongguan(Dongguan Children’s Hospital)from July 2019 to July 2020 was performed.The“gold standard”of diagnosis was pathological diagnosis.High-frequency ultrasound examinations were performed to analyze the final diagnosis results,as well as the ultrasound appearance and blood flow signal classification of benign and malignant tumors.Results:(1)Diagnosed by pathology,92 cases were benign tumors,the benign rate was 91.09%;9 cases were malignant tumors,the malignant rate was 9.91%;(2)The preoperative ultrasound diagnosis of benign tumors was consistent with the postoperative pathology in 83 cases,with a coincidence rate of 90.22%,among which tuberculous lymph nodes,lipomas,tendon sheath cysts,branchial cleft cysts,lymphangiomas,simple abscesses,inflammatory masses,calcified epitheliomas,sciatic nodular cysts,attached ears and pathological diagnosis were complete compliant(100.00%);5 cases of malignant tumors with preoperative ultrasound diagnosis and postoperative pathology were consistent,with a coincidence rate of 55.56%,among which lymphoma,metastatic carcinoma,and metastatic lymph nodes were completely consistent with the pathological diagnosis(100.00%);(3)Compared with benign tumors,malignant tumors showed irregular shape,rough borders,and internal hypoechoic.The comparison between the two showed that the difference was statistically significant(P<0.05);(4)Compared with benign tumors,malignant tumors had higher blood flow signal grades,and the difference was statistically significant(P<0.05).Conclusion:High-frequency ultrasound examination of superficial soft tissue tumors can improve the diagnosis rate of the disease,help distinguish benign and malignant tumors,and improve the prognosis,which is worth learning.