高频彩色多普勒超声诊断关节及肌腱周围软组织肿块的临床价值

Clinical value of high frequency color doppler ultrasound in the diagnosis of soft tissue mass around joint and tendon

目的:探讨高频彩色多普勒超声诊断关节及肌腱周围肿块的临床价值。方法:收治关节及肌腱周围肿块患者76例,回顾性分析其高频超声及彩色多普勒检测的临床资料及病理结果,分析其声像图特征及发生部位。结果:超声诊断关节及肌腱周围软组织肿块病变76例,其中腱鞘囊肿18例(25.28%),关节囊积液18例(25.28%),腘窝囊肿24例(31.58%),滑囊炎14例(18.42%),腱鞘巨细胞瘤1例(1.31%),腹壁外韧带样纤维瘤1例(1.31%)。结论:高频超声作为一种无创、快速、便于重复的影像学检查方法,对于肌肉骨骼系统疾病应用诊断价值高,具有良好的软组织对比、多方位扫查的特点,能很好地显示病变的范围及特征,并可较好地区分出脂肪组织、肌肉组织及积液、血肿、血栓等,为判断肿块的组织学来源提供了准确的诊断依据。

Objective:To explore the clinical value of high frequency color doppler ultrasound in the diagnosis of soft tissue mass around joint and tendon.Methods:76 cases with soft tissue mass around joint and tendon were selected.We retrospectively analyzed the clinical data and pathological results of the high frequency ultrasound and color doppler detection,and the ultrasonographic characteristics and location.Results:76 cases with soft tissue mass around joint and tendon were diagnosed by ultrasound.18 cases(25.28%) were ganglion cyst;18 cases(25.28%) were joint effusion;24 patients(31.58%) were popliteal cyst;14cases(18.42%) were bursitis;1 case(1.31%) was giant cell tumor of tendon sheath;1 case(1.31%) was abdominal wall desmoid tumor.Conclusion:High frequency ultrasound is a non-invasive,rapid,convenient repeated imaging methods.It has high value in the diagnosis of musculoskeletal system diseases.It has excellent soft tissue contrast,multi azimuth scanning and other features.It can well reveal the scope and feature,and can distinguish the adipose tissue,muscle tissue and effusion,hematoma,thrombus and so on.It can provide the basis for diagnosis of accurate source for judging tumor histology.