高频彩色多普勒超声加水囊对肢体浅表组织病变的诊断价值-论文.pdf

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1、中国当代医药2014年10月第2l卷第28期影像与介入·高频彩色多普勒超声加水囊对肢体浅表组织病变的诊断价值李镇超唐荣德覃兴尤王理德李群欢蒋志坚广东省江门市新会区中医院超声科．广东江门529100【摘要】目的探讨高频彩色多普勒超声加水囊(wc)对肢体浅表组织表面凹凸不平病变的诊断价值方法对229例各种肢体浅表组织表面凹凸不平的病变采用高频彩色多普勒超声直接检查和高频彩色多普勒超声加WC间接检查，全部病例均以手术或穿刺病检作为金标准用以确诊，在3种方法之间比较其诊断准确率。结果与手术或穿刺病检比较，高频彩色多普勒超声加WC对脂肪瘤、纤维瘤、表皮样囊肿、腱鞘囊肿、跟腱断裂、手指

2、肌腱断裂诊断准确率分别为98．5％、94．7％、100％、100％、100％、95．2％，对肢体浅表组织表面凹凸不平病变的诊断总准确率为98．7％，总误诊率为1．3％；用高频彩色多普勒超声直接检查的诊断总准确率为87．2％，总漏诊率为12．8％结论利用高频彩色多普勒超声加WC对肢体浅表组织表面凹凸不平的病变进行超声探查，可使病变的结构层次更加清晰并明显改善图像质量，大大提高超声诊断准确率【关键词】高频彩色多普勒超声；水囊；浅表组织；凹凸不平；病变【中图分类号】R445．1【文献标识码】A【文章编号】1674—4721(2014)1O(a)一0103—04Diagnosisv

3、aluesofhighfrequencycolorDopplerultrasoundwithwatercystforpathologicalchangesoflimbssuperficialtissuesLIZhert~chodTANGRong-deQlNXing-youWANGLi—deLIQun—huanJIANGZhi~ianDepartmentofUltrasonics，XinhuiDistrictTraditionalChineseMedicineHospitalofJiangmenCityinGuangdongProvince，Jiangmen529100，Ch

4、ina[Abstract】ObjectiveToexplorethediagnosisvaluesofthehigh~equencycolorDopplerultrasoundwithwatercyst(WC)forthepathologicalchangesoflimbssuperficialtissues．MethodsThepositionsofpathologicalchangesfor229caseswiththelimbsirregularsuperficialtissuesweresearchedincontrastwithapplyingthatdirect

5、detectionwasmadebythehighfrequencycolorDopplerultrasound，indirectdetectionwasconductedbyhighfrequencycolorDopplerul’trasoundwithWC．Thediagnosisofal1patientsusedtheoperation。punctureandpathologyasthegoldstandard．Thedi—agnosticaccurateratesofthreemethodswerecompared．ResultsThediagnosticaccur

6、aterateofthehigh~equencycolorDopplerultrasoundwithWCforthelipoma，fibroma，epidermoidcyst，thecalcyst，ruptureoftheachillestendonandfingertendonrupturewas98．5％，94．7％，100％，100％，100％and95．2％respectively，comparedwiththeoperation，punc—tureandpathology．thetotaldiagnosticaccuraterateofthismethodfort

7、hepathologicalchangesofirregularsulfaeeinthelimbssuperficialtissueswas98．7％andtotalmisdiagnosisratewas1．3％．However，thetota1diagnosticaccuraterateofthehigh~equencycolorDopplerultrasoundwas87．2％andtotalmisseddiagnosisratewas12．8％．ConclusionThehigh~equencycolorDo