摘要
目的:探讨四肢腱鞘巨细胞瘤(GCTTS)的超声声像学特征与诊断价值.方法:回顾性分析经我院手术及病理证实为GCTTS的63例患者的术前超声图像,观察肿块部位、大小、形态、边界、内部回声、与关节及肌腱的关系、内部血流情况等,分析GCTTS的超声特征,并与病理结果进行对照.结果:63例GCTTS患者中,局限型GCTTS 61例,弥漫型GCTTS 2例.病灶位于右手23例,左手27例,前臂1例,右足7例,左足2例,踝部2例,膝关节1例.术前超声诊断GCTTS 45例,7例诊断性质待定,膝关节1例诊断为恶性肿瘤(MT)可能,7例诊断为腱鞘囊肿,2例诊断为表皮样囊肿,踝关节1例诊断为滑膜增生可能.膝、踝关节2例病灶周围可见局部骨质凹陷.局限型病灶内部血流以Alder 0~Ⅱ级为主,弥漫型以Ⅲ级为主.结论:超声检查四肢GCTTS操作简便、可动态实时观察,特别是四肢小关节GCTTS具有一定特征性的超声征象,可作为首选的辅助检查方法,当病灶较大、与周围组织界限不清时,可行超声引导下穿刺活检.
Objective:To explore the diagnostic value of ultrasound for giant cell tumor of tendon sheath(GCTTS)of extremities.Methods:Retrospective analysis of ultrasounographic features of 63 patients with GCTTS,which were confirmed by surgery and pathology in our hospital.The location,size,shape,boundary,internal echo of the mass,the relationship with joints and tendons,and the blood flow inside and around the mass were analyzed.The correlation of the ultrasounographic features and pathological features were also evaluated.Results:Of the 63 patients with GCTTS,61 were local type GCTTS and two were diffuse type GCTTS.Twenty-three GCTTS were located in the right hand,27 in the left hand,one in the forearm,seven in the right foot,two in the left foot,and two in the ankle.Forty-five cases were diagnosed with giant cell tumor of tendon sheath by preoperative ultrasound.One case in knee joint was diagnosed with malignant tumor(MT)possibly.Seven cases were diagnosed with tendon sheath cysts.Two cases were diagnosed with epidermoid cysts.One case was diagnosed with synovial hyperplasia in the ankle joint.Local bone depression was seen around the lesion in two cases of the knee and ankle joint.The blood flow was mainly Alder grade Ⅰ~Ⅱ in local type,and mainly Alder grade Ⅲ in the diffuse type.Conclusions:The GCTTS have certain characteristic ultrasound signs and can be used as the first auxiliary examination.
作者
李凤霞
蔡清源
陈锦珍
LI Feng-xia;CAI Qing-yuan;CHEN Jin-zhen(Abdominal Color Doppler Ultrasound Room,Quanzhou First Hospital,Quaiuhou Fujian 362000,China)
出处
《中国临床医学影像杂志》
CAS
2020年第12期894-896,共3页
Journal of China Clinic Medical Imaging
关键词
巨细胞瘤
四肢
超声检查
Giant cell tumors
Extremities
Ultrasonography
