超声自动容积扫描系统在外周神经源性良性肿瘤临床诊断中的应用价值.pdfVIP

中国越声医学杂志 2015 年 7 月 第 31 卷再 7 期 Chinese J U1 trasound Med Vol.31 No.7 July 2015 超声自动容积扫描系统在外周神经源性良性肿瘤 临床诊断中的应用价值 金佳美陈悦庞芸柴启亮王海尔刁雪红 摘要 目的 探讨超声自动容织扫描系统 (AVSS) 在外周神经源性良性肿瘤临床诊断中的应用价值. 方法 对 36 个经病理证实为外用神经源性良性肿瘤的 AVSS及常规灰阶超声影像资料进行回顾位分析，对比两者的诊断符 合率以评估 AVSS冠状商图像在诊断中的价值. 编果 AVSS 对于病变的大小形态、内部结构及毗邻关系等特征的显示皆优于常规灰阶翘声 . 与病理结果比较， AVSS 对于 神经鞠瘤的诊断准确度 (20/23 ， 86.96%) 明显高于常规灰阶超声{13/23 , 56.52%) (P=0. 031)，对于神经纤维瘾的诊断准 确度 (12/ 13 ， 92.31%) 亦高于常规灰阶超声 (7/13 ， 53.85%) (P = 0.044). 结论 AVSS冠状面图像能为诊断神经源性良性肿痛提供更多依据，为治疗和手术提供更多信息. 关键词 超声检查 自动容积扫描系统神经销瘪神经纤维瘸 Value of Automated Volume Scanner System Ultrasonography in the Diagnosis 。f Benign Periphera l Neurogenic Tumors Jin Jiamei , Chen Yue , Pang Yun , et al. Department of Ultrasound , Huadong Hospital , Fudan University , Shanghai 200040 China Abstract : Objective To evaluate the value of automated volume sωnner system(A VSS) ultrasonography in the diagnosis of benign peripheral neurogenic tumors(BPNTs). Met.hωS 36 benign peripheral neurogenic tumors proved by pathology were examed by conventional handheld B-mode ultrasound( H HUS) and A VSS, respectively. The images were reviewed and analyzed. The results were compared with pathology to assess the value of the coronal plane of AVss. Results AVSS gave more details about siz.e, shape , inner structure and relationships with surrounding struc- tures of BPNTs than conventional handheld B-mode ultrasound. Compared with pathology results , accuracy of AVSS was much better than that of H HUS in diagnosis of schwannoma(20/ 23 ,86.96 % vs 13/ 23 , 56. 52%)(P=0. 031)，刻， so in diagnosis of neurofibroma ( 12/13,92.31 % vs 7/ 13 ,53.85% ( P = 0. 044). Conclus阳15 The coronal plane of AVSS can offer further details for diagnosis of BPNTs, which could contribute to the resection of BPNTs. Key words : Ultrasonography , Automated volume scanner system , Schwannoma , Neurofibroma 外周神经源性良性肿瘤 (benign peripheral neu- rogenic tumors , BPNTs) 包括神经鞠瘤及神经纤维 瘸川. 传统超声对 BPNTs 与外周神经干关系的显示 仍有所欠缺，近年来超声自动容积扫描系统