婴儿胸锁乳突肌假性肿瘤的超声表现.pdfVIP

临床超声医学杂志 2001 年 12 月第 3 卷第 6 期 　J Ultrasound in Clin Med ,Dec . 2001 , Vol . 3 , NO. 6 ·33 1 · ·临床研究 · 婴儿胸锁乳突肌假性肿瘤的超声表现 殷春霞 　张文云 　李 　莉 　张永珍 　甄景琴 　邓荷萍 摘 　要 　目的　描述婴儿前 8 周胸锁乳突肌瘤样增大的不同超声表现 。方法 　对有胸锁乳突肌肿块弥漫性增大 或肌性斜颈的47 例患儿在 12 周之前做超声检查 ,总结其超声表现特征 ,记录病史和随访资料 。结果 　超声分析显示 ,24 例婴儿仅在胸锁乳突肌中有单一肿块 ,其中20 例表现为回声增强 ,4 例表现为混合性回声 ;7 例为胸锁乳突肌肿块同时 伴有梭形肌肉肿大 ,均表现为低回声 ,16 例仅有肌肉肿大 ,其中 12 例为混合性回声 ,4 例为低回声 。少见的几种超声表 现包括 : ①胸锁乳突肌单一肿块在长轴上分裂为两个组成部分 ; ②弥漫性肿大肌肉表现为强回声和低回声相间的条纹状 改变 ,40 例病人随访 4 个月 ,29 例病人随访 6 个月 ,临床表现均有好转 。结论 　胸锁乳突肌瘤样增生超声表现为回声增 强团块或胸锁乳突肌弥漫性肥大的低回声或混合回声 。其超声表现的差异并不妨碍正确诊断 , 因为这种差异仅表现在 肌肉中 ,而周围软组织表现正常 。 瘤样增生 　肌肉　纤维化 　肌性斜颈 　超声影像 关健词 　 Fibromatosis Colli of Infancy : Variability of Sonographic Appearance Yin Chun xia , Zhang Wen yun ,Li Li , et al the Third Hospital of Hebei Medical University ,Shijiazhuang 050051 ABSTRACT 　Objective 　We describe the variable sonographic appearances of fibromatosis colli , a disease that presents as a mass - like enlargement of the stemocleidomastoid muscle during the first 8 weeks of life . Methods 　Sonograms and records of 47 infnts who presented with a stemocleidomastoid mass or torticollis before they were 12 weeks old were retrospectively reviewed for sonographic features (presence of a mass ,diffuse muscle enlargement ,and echogenicity) ,medical history ,and follow - up data . Results 　Sonographi cally , 24 infants had only a mass in the stemocleidomastoid muscle , ( Twenty masses were hyperechoic ,and 4 masses were of mixed echo genicity) . The 7 masses associated with muscle emlargement were hypoechoic . 12 cases of diffuse muscle e