【摘要】 目的 探讨高频超声诊断背部弹力纤维瘤的临床应用价值。方法 回顾性分析2009年4月至2013年6月应用高频超声诊断并经过手术切除病理证实的12例背部弹力纤维瘤的超声表现。结果 全部病例手术切除,术中见肿瘤没有真正的包膜,边界不清。手术后伤口无感染,术后随访6~42个月,无肿瘤复发。病理均提示为弹力纤维瘤。超声显示肿块大小为2.6 cm×3.2 cm×3.1 cm~7.6cm×5.5 cm×6.2 cm,均未显示包膜,与周围组织分界不清,内部回声不均匀,以中强回声为主,部分可见条索样高低回声相间排列,彩色多普勒血流显像,肿块内均未见明显血流信号。结论 结合超声影像学特征和临床表现对背部弹力纤维瘤具有重要的诊断价值。更多还原

【Abstract】 Objective To assess clinical value of high frequency ultrasonography in the diagnosis of back elaslofibroma.Methods The ultrasonography of 12 patients with pathologically confirmed back elastofibroma after surgical resection from April 2009 to June 2013 were retrospectively evaluated.Results All cases were surgically removed.There was no real peplos and boundary of the tumor intraoperative.No post-operative wound had infection.12 post-operative patients were followed up,the follow-up time was 6-42 months.All were confirmed elastofibroma by pathological examination.Ultrasound showed a size range from 2.6 cm × 3.2 cm × 3.1 cm to7.6 cm x 5.5 cm × 6.2 cm.The mass had no clear boundary with the surrounding tissue and peplos;internal echowas inhomogenous with mainly strong echo.Some had cord-like arrangement of high and low echo alternating.Color Doppler flow imaging showed blood flow signal in the tumor was absent.Conclusion Ultrasound imaging features combined with clinical manifestations have an important diagnostic value for elastofibromadorsi,which have usually found in inferior angle of scapul.更多还原