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彩色多普勒超声对浅表脂肪瘤及脂肪坏死的鉴别诊断

CDFI for differential diagnosis of lipoma from fatty necrosis

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【作者】 郑建勋臧晓红杨林祝凯姚小奇

【Author】 Zheng Jianxun,Zang Xiaohong,Yang Lin,et al Dept.Ultrasound,China Japan Friendship Hospital,Beijing 100029 Ch ina

【机构】 北京中日友好医院超声诊断科北京中日友好医院超声诊断科 100029北京市100029北京市

【摘要】 目的描述脂肪瘤及脂肪坏死的超声表现,比较两种病变的图像特征,探讨超声对皮下脂肪瘤及脂肪坏死的鉴别诊断价值。方法经手术及病理结果对照的20例皮下脂肪瘤及10例脂肪坏死的病例,对它们的彩超结果进行了回顾性分析和总结。结果归纳出了脂肪坏死及脂肪瘤的超声图像特征。结论两种位于皮下的软组织疾病,图像很有特点,超声对它们有肯定的鉴别诊断价值。

【Abstract】 Objective We describe the sonographic f eatu res of lipoma and fatty necrosis in order to evaluate the practical roles of CDF I in diagnosis and differential diagnosis of them. Methods A retrospective review of 20cases with subcutaneo us lipoma and 10 cases with fatty necrosis proved by surgery and pathology was a nalyzed. Results Fatty necrosis and lipoma were all subcutaneous d iseases and had their own sonographic characteristics.Subcutaneous lipomas usual ly appeared as hypoechoic ellipse or elongated contours.Their longest axises wer e parallel to the skin and most of their roundness index were lager than 2.5,wh ereas the index of fatty necrosis was less than 1.5.Generally,they were spherica l with well-defined low-immer echoes and with attenuation behind. Conclusions CDFI has affirmative value in the differentia tion of the two diseases.

  • 【文献出处】 中国超声诊断杂志 ,Chinese Journal of Ultrasound Diagnosis , 编辑部邮箱 ,2005年07期
  • 【分类号】R445.1
  • 【被引频次】7
  • 【下载频次】168
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