中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
14期
54-56
,共3页
背部弹力纤维瘤%软组织肿瘤%彩色多普勒超声%外科手术
揹部彈力纖維瘤%軟組織腫瘤%綵色多普勒超聲%外科手術
배부탄력섬유류%연조직종류%채색다보륵초성%외과수술
Elastofibroma dorsi%Soft tissue neoplasms%Color Doppler ultrasound%Surgical operation
目的:探讨背部弹力纤维瘤的诊断及治疗方法。方法回顾性分析2004年1月~2013年12月本院收治的50例背部弹力纤维瘤患者的临床资料,总结弹力纤维瘤的临床特点、特征性的影像学表现、典型性病理改变、近远期手术疗效。结果本组50例患者依据典型的发病部位(肩胛下角区域)及影像学(B超、MRI)检查而确诊,50例均行肿物切除术,肿物直径为4~12 cm。术后并发症主要为伤口积液,本组88处病变发生伤口积液25处,发生率28.4%,18处经反复穿刺抽液治愈,7处经腔内注射曲氨奈德治愈。术后随访6个月~10年,无复发。结论肩胛下角区域是背部弹力纤维瘤的主要发病部位。依据典型的体检结果及特征性影像学表现既可作出正确诊断。手术切除肿物的近、远期效果良好。
目的:探討揹部彈力纖維瘤的診斷及治療方法。方法迴顧性分析2004年1月~2013年12月本院收治的50例揹部彈力纖維瘤患者的臨床資料,總結彈力纖維瘤的臨床特點、特徵性的影像學錶現、典型性病理改變、近遠期手術療效。結果本組50例患者依據典型的髮病部位(肩胛下角區域)及影像學(B超、MRI)檢查而確診,50例均行腫物切除術,腫物直徑為4~12 cm。術後併髮癥主要為傷口積液,本組88處病變髮生傷口積液25處,髮生率28.4%,18處經反複穿刺抽液治愈,7處經腔內註射麯氨奈德治愈。術後隨訪6箇月~10年,無複髮。結論肩胛下角區域是揹部彈力纖維瘤的主要髮病部位。依據典型的體檢結果及特徵性影像學錶現既可作齣正確診斷。手術切除腫物的近、遠期效果良好。
목적:탐토배부탄력섬유류적진단급치료방법。방법회고성분석2004년1월~2013년12월본원수치적50례배부탄력섬유류환자적림상자료,총결탄력섬유류적림상특점、특정성적영상학표현、전형성병리개변、근원기수술료효。결과본조50례환자의거전형적발병부위(견갑하각구역)급영상학(B초、MRI)검사이학진,50례균행종물절제술,종물직경위4~12 cm。술후병발증주요위상구적액,본조88처병변발생상구적액25처,발생솔28.4%,18처경반복천자추액치유,7처경강내주사곡안내덕치유。술후수방6개월~10년,무복발。결론견갑하각구역시배부탄력섬유류적주요발병부위。의거전형적체검결과급특정성영상학표현기가작출정학진단。수술절제종물적근、원기효과량호。
Objective To explore the diagnostic and therapeutic methods of elastofibroma dorsi. Methods From January 2004 to December 2013,clinical data from 50 patients with elastofibroma dorsi admitted into our hospital were retro-spectively analyzed.Clinical characteristic,distinctive imaging manifestation, typical pathological change,and curative ef-fect in short/long-term surgery of elastofibroma dorsi were summarized. Results 50 participants were definitely diag-nosed by typical pathogenic site (inferior angle of scapula region) and imageology examination (B-ultrasound and MRI). They were operated with neoplasms resection and the diameter of neoplasms ranged from 4 to 12 cm.The principal postoperative complication was wound hydrops in 25 wounds for 88 pathogenic sites occurred,and the incidence rate was 28.4%.Among them,18 sites were cured by repeated puncture and drainage,and 7 sites were cured by intracavitary injection of triamcinolone acetonide.Patients were followed up for 6 months to 10 years,and there was no recurrent case. Conclusion Area of inferior angle of scapula is a principal pathogenic site of elastofibroma dorsi,which can be correctly diagnosed by typical physical examination results and characterized imaging manifestations.Neoplasm is removed by surgery can obtain a good short/long-term effect.