CAJ | 학술논문

目的：评价压差试验在高频彩超诊断浅表软组织血管瘤（SSTH）中的价值。方法：对103例浅表软组织病变进行高频彩超检查和压差试验。在试验的加压或减压过程中，出现短暂的彩色多普勒血流信号为阳性，否则为阴性。将试验结果与术后病理或临床随访结果进行对照，评价该试验对SSTH的诊断效果。结果：压差试验结果位阳性30例，阴性73例。术后病理或临床随访结果为SSTH 31例（A组），非浅表软组织血管瘤72例（B组）。压差试验诊断SSTH的敏感度为93.55%（29/31），特异度为98.61%（71/72）、准确率为97.09%（100/103）。结论：压差试验在高频彩超诊断SSTH中具有敏感度高、特异度高、准确率高的特点。该技术简单、安全，对软组织病变的诊断具有重要价值，尤其是对SSTH。
목적：평개압차시험재고빈채초진단천표연조직혈관류（SSTH）중적개치。방법：대103례천표연조직병변진행고빈채초검사화압차시험。재시험적가압혹감압과정중，출현단잠적채색다보륵혈류신호위양성，부칙위음성。장시험결과여술후병리혹림상수방결과진행대조，평개해시험대SSTH적진단효과。결과：압차시험결과위양성30례，음성73례。술후병리혹림상수방결과위SSTH 31례（A조），비천표연조직혈관류72례（B조）。압차시험진단SSTH적민감도위93.55%（29/31），특이도위98.61%（71/72）、준학솔위97.09%（100/103）。결론：압차시험재고빈채초진단SSTH중구유민감도고、특이도고、준학솔고적특점。해기술간단、안전，대연조직병변적진단구유중요개치，우기시대SSTH。
Objective:To evaluate the diagnostic effects of the differential pressure test in the high-frequency color doppler diagnosis of SSTH.Method:103 cases of superficial soft tissue masses were conducted high-frequency color doppler examination and the differential pressure test.In the pressurization or depressurization process of the test, emerges transient color doppler signal was positive, otherwise was negative. The test results with postoperative pathology or clinical follow-up results were compared to evaluate the diagnostic effects of the test in the high-frequency color doppler diagnosis of SSTH.Result:The test results were positive for 30 cases and negative for 73 cases. The postoperative pathology or clinical follow-up results were 31 cases of SSTH (group A), 72 cases of non-superficial soft tissue hemangioma (group B).The sensitivity of diagnose,specificity and accuracy rating was respectively 93.55%(29/31),98.61% (71/72)and 97.09%(100/103).Conclusion:The test has a high sensitivity, high specificity and high accuracy characteristics in the high-frequency color doppler diagnosis of SSTH. The test is simple and safe, and has an important diagnostic value of soft tissue mass, especially in SSTH.