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使用含造影剂的超声彩色能量多普勒评估四肢软组织病变中的血管形成情况。

Echocolor Power Doppler with contrast medium to evaluate vascularization in lesions of the soft tissues of the limbs.

作者信息

De Marchi A, De Petro P, Faletti C, Brach del Prever E M, Gino G, Albertini U, Piana R, Marone S, Mellano D, Linari A, Forni M, Bertoldo U, Comandone A, Boglione A, Brach del Prever A

机构信息

Dipartimento di Radiologia, Dipartimento di Traumatologia ed Ortopedia, Azienda Ospedaliera CTO, CRF, Maria Adelaide, Torino.

出版信息

Chir Organi Mov. 2003 Apr-Jun;88(2):225-31.

PMID:14735833
Abstract

PURPOSE

Echocolor Power Doppler with contrast medium forms a non-invasive vascular image; the purpose of the study is to evaluate the effectiveness in differentiating benign and malignant tumors in the soft tissues of the limbs.

MATERIAL AND METHOD

Echocolor Power Doppler with contrast medium was used to study 80 patients with swelling in the soft tissues of the limbs: there were 54 benign lesions, 22 sarcomas, and 4 aggressive desmoid fibromatoses.

RESULTS

Were identified 4 patterns of wash-in and wash-out curves that could be correlated to the histological diagnosis: type I was present in 85% of benign lesions, type III in 91% of malignant lesions and in 3.7% of the benign ones, type II in aggressive fibromatoses, anomalous type in 4 benign lesions and 2 sarcomas; the curve was absent in 2 benign lesions.

CONCLUSIONS

Power Doppler Echocolor with contrast medium can become a useful method to be associated with traditional imaging methods in the differential diagnosis of swelling of the soft tissues of the limbs.

摘要

目的

带有造影剂的彩色能量多普勒超声可形成无创血管图像;本研究的目的是评估其在鉴别四肢软组织良恶性肿瘤方面的有效性。

材料与方法

采用带有造影剂的彩色能量多普勒超声对80例四肢软组织肿胀患者进行研究:其中有54例良性病变、22例肉瘤和4例侵袭性硬纤维瘤病。

结果

识别出4种与组织学诊断相关的流入和流出曲线模式:I型出现在85%的良性病变中,III型出现在91%的恶性病变中以及3.7%的良性病变中,II型出现在侵袭性纤维瘤病中,异常型出现在4例良性病变和2例肉瘤中;2例良性病变中未出现曲线。

结论

带有造影剂的彩色能量多普勒超声可成为一种在四肢软组织肿胀鉴别诊断中与传统成像方法联合使用的有用方法。

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