高频超声对外周神经肿瘤的诊断价值-东南大学学报医学版

高频超声对外周神经肿瘤的诊断价值

单位：扬州大学临床医学院/苏北人民医院超声科, 江苏扬州 225001

分类号：R445.1

出版年·卷·期（页码）：2017·36·第一期（94-96）

摘要：

目的：探讨高频超声对外周神经肿瘤的诊断价值。方法：对18例经术后病理学证实的外周神经肿瘤（共18个）的高频超声声像图特征进行回顾性分析。结果：18例外周神经肿瘤患者中神经鞘瘤16例（上肢5例，下肢8例，颈部3例），坐骨神经上皮样肉瘤1例，尺神经淋巴瘤病1例。18例神经肿块声像图特征以椭圆形或圆形实性低回声肿块为主，边界清晰，有包膜，17例肿块与神经相连，呈“鼠尾征”（17/18），7例肿块偏心性生长即“偏心征”（7/18）。高频超声显示17例肿块来源于神经，另1例难以确定来源，超声诊断符合率为94%（17/18）。结论：高频超声能有效诊断外周神经肿瘤，为临床治疗提供影像学依据。

Objective:To investigate the value of high frequency ultrasound in diagnosis of peripheral nerve tumors.Method:The ultrasonographic features of 18 cases of peripheral nerve tumors confirmed by pathology were retrospectively analyzed.Results:Among the 18 cases of peripheral nerve tumors,there were 16 cases of neurilemmoma(5 cases in upper limb,8 cases in lower extremity,3 cases in neck),1 case of epithelioid sarcoma of sciatic nerve,1 case of lymphoma of the ulnar nerve.The sonographic features of the 18 cases were mainly oval or round solid hypoechoic mass,clear boundary,enveloped,17 cases showed that the masses and nerves were connected,that was "rat tail sign"(17/18),7 cases showed the mass were eccentric growth,that was "eccentric sign" (7/18).High frequency ultrasound displayed 17 lesions derived from the neural and the other 1 was difficult to determine its origin.The hight frequency ultrasound diagnosis coincidence rate was 94%(17/18).Conclusion:High frequency ultrasound is effective on diagnosis of peripheral nerve tumors,it can provide the image evidence for the clinical treatment.

参考文献：

[1] 汪盛齐,杨小庆,储成凤.肝门部神经鞘1例报道及文献分析[J].东南大学学报:医学版,2006,25(2):92-95.
[2] 方雷,安建平,赵辉,等.神经淋巴瘤病的18F-FDG PET/CT影像特征分析[J].中华核医学与分子影像杂志,2014,34(2):19-22.
[3] 王战业,曹洪弘,夏炳兰.周围神经淋巴瘤病超声表现1例[J].临床超声医学杂志,2015,17(10):707,711.
[4] 柏宁野,戴光华,郑辉.外周神经源肿瘤的声像图诊断与鉴别诊断分析[J].中国超声医学杂志,2001,17(4):309-311.
[5] 陈为民,刘艾琳,姚静.桡神经炎的超声声像图特征及诊断价值[J].中国医学计算机成像杂志,2013,19(6):537-539.
[6] 刘新颖,赵亮,胡元平.浅表良性神经鞘瘤的高频超声诊断与鉴别诊断[J].中国医师杂志,2011,13(9):1254-1256.
[7] 杨帆,陈贤翔,吴灼金,等.周围神经鞘瘤的超声特征分析[J].中华超声影像学杂志,2015,24(2):151-154.
[8] 佟凌霞,齐娜,王蕊.颈部神经鞘瘤的超声表现与病理对照研究[J].中国实验诊断学,2014,18(5):837-839.
[9] 杨帆,吴火林,陈贤翔,等.神经鞘瘤内靶征的超声诊断价值及形成机制探讨[J].中国超声医学杂志,2015,31(9):824-826.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录