彩色多普勒超声对脾脏炎性肌纤维母细胞瘤的诊断价值分析

Diagnostic Value of Color Doppler Ultrasonography in Myofibroblastoma of Spleen

目的:探讨彩色多普勒超声对脾脏炎性肌纤维母细胞瘤的诊断价值,提高超声医师对该病的认识及诊断水平。方法:选取我院2010年1月-2018年12月间6例经手术病理证实为脾脏炎性肌纤维母细胞瘤的彩色多普勒超声图像,观察肿瘤的部位、大小、形态、边界、内部回声、彩色多普勒血流情况等。结果:6例脾脏肿瘤均为单发,直径约2.3~7.6cm;5例位于脾上极,1例位于脾下极;4例边界清楚,2例边界欠清;4例形态规则呈类圆形,2例形态欠规则;6例均以不均匀低回声为主伴片状或条带状稍高回声区,其中4例内见小片状无回声液性暗区;6例肿块内部彩色多普勒血流显像均可检测出条状或短棒状血流信号。结论:脾脏炎性肌纤维母细胞瘤的彩色多普勒超声图像具有一定的特征性,具有较高的临床诊断价值。

Objective:to investigate the diagnostic value of color doppler ultrasonography in splenic inflammatory myofibroblastoma,and to improve the understanding and diagnostic level of ultrasonographers.Methods:color doppler ultrasound images of 6 patients with splenic inflammatory myofibroblastoma confirmed by surgery and pathology from January 2010 to December 2018 in our hospital were selected to observe the location,size,shape,boundary,internal echo and color doppler blood flow of the tumor.Results:all the 6 cases of splenic tumor were single,with diameter of 2.3~7.6 cm.5 cases were located in the upper pole of the spleen and 1 case was located in the lower pole of the spleen.The boundary was clear in 4 cases and unclear in 2 cases.Four cases were almost circular in shape,and two were irregular in shape.The majority of the 6 cases were non-uniform hypoechoic accompanied by flaky or strip-like slightly high echo areas,among which 4 cases were found with small flaky anechoic dark areas.In 6 cases,the color doppler flow imaging could detect the blood flow signals in bars or short bars.Conclusion:the color doppler ultrasonography of splenic inflammatory myofibroblastoma has certain characteristics and high clinical diagnostic value.