中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
28期
103-105,108
,共4页
李镇超%唐荣德%覃兴尤%王理德%李群欢%蒋志坚
李鎮超%唐榮德%覃興尤%王理德%李群歡%蔣誌堅
리진초%당영덕%담흥우%왕리덕%리군환%장지견
高频彩色多普勒超声%水囊%浅表组织%凹凸不平%病变
高頻綵色多普勒超聲%水囊%淺錶組織%凹凸不平%病變
고빈채색다보륵초성%수낭%천표조직%요철불평%병변
High frequency color Doppler ultrasound%Water cyst%Superficial tissue%Irregularity%Pathological change
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。
目的：探討高頻綵色多普勒超聲加水囊(WC)對肢體淺錶組織錶麵凹凸不平病變的診斷價值。方法對229例各種肢體淺錶組織錶麵凹凸不平的病變採用高頻綵色多普勒超聲直接檢查和高頻綵色多普勒超聲加WC間接檢查，全部病例均以手術或穿刺病檢作為金標準用以確診，在3種方法之間比較其診斷準確率。結果與手術或穿刺病檢比較，高頻綵色多普勒超聲加WC對脂肪瘤、纖維瘤、錶皮樣囊腫、腱鞘囊腫、跟腱斷裂、手指肌腱斷裂診斷準確率分彆為98.5%、94.7%、100%、100%、100%、95.2%，對肢體淺錶組織錶麵凹凸不平病變的診斷總準確率為98.7%，總誤診率為1.3%；用高頻綵色多普勒超聲直接檢查的診斷總準確率為87.2%，總漏診率為12.8%。結論利用高頻綵色多普勒超聲加WC對肢體淺錶組織錶麵凹凸不平的病變進行超聲探查，可使病變的結構層次更加清晰併明顯改善圖像質量，大大提高超聲診斷準確率。
목적：탐토고빈채색다보륵초성가수낭(WC)대지체천표조직표면요철불평병변적진단개치。방법대229례각충지체천표조직표면요철불평적병변채용고빈채색다보륵초성직접검사화고빈채색다보륵초성가WC간접검사，전부병례균이수술혹천자병검작위금표준용이학진，재3충방법지간비교기진단준학솔。결과여수술혹천자병검비교，고빈채색다보륵초성가WC대지방류、섬유류、표피양낭종、건초낭종、근건단렬、수지기건단렬진단준학솔분별위98.5%、94.7%、100%、100%、100%、95.2%，대지체천표조직표면요철불평병변적진단총준학솔위98.7%，총오진솔위1.3%；용고빈채색다보륵초성직접검사적진단총준학솔위87.2%，총루진솔위12.8%。결론이용고빈채색다보륵초성가WC대지체천표조직표면요철불평적병변진행초성탐사，가사병변적결구층차경가청석병명현개선도상질량，대대제고초성진단준학솔。
Objective To explore the diagnosis values of the high frequency color Doppler ultrasound with water cyst (WC) for the pathological changes of limbs’superficial tissues. Methods The positions of pathological changes for 229 cases with the limbs’irregular superficial tissues were searched in contrast with applying that direct detection was made by the high frequency color Doppler ultrasound,indirect detection was conducted by high frequency color Doppler ul-trasound with WC.The diagnosis of all patients used the operation,puncture and pathology as the gold standard.The di-agnostic accurate rates of three methods were compared. Results The diagnostic accurate rate of the high frequency color Doppler ultrasound with WC for the lipoma,fibroma,epidermoid cyst,thecal cyst,rupture of the achilles tendon and finger tendon rupture was 98.5%,94.7%,100%,100%,100% and 95.2% respectively,compared with the operation,punc-ture and pathology,the total diagnostic accurate rate of this method for the pathological changes of irregular surface in the limbs’superficial tissues was 98.7%and total misdiagnosis rate was 1.3%.However,the total diagnostic accurate rate of the high frequency color Doppler ultrasound was 87.2% and total missed diagnosis rate was 12.8%. Conclusion The high frequency color Doppler ultrasound with WC used to ultrasound expedition for the pathological changes of irregu-lar surface in the limbs’superficial tissues is usable more clear for the layer of structure of patho logical changes,obvi-ously improve the quality of image and can greatly heighten the accurate rate of ultrasound diagnosis.
