皮样囊肿及表皮样囊肿超声诊断.doc

皮样囊肿及表皮样囊肿超声诊断[摘要] 目的 探讨皮样囊肿与表皮样囊肿的超声特点及诊断。方法 回顾性分析经病理证实的12例皮样囊肿与7例表皮样囊肿的超声表现。结果 12例皮样囊肿超声表现为囊性团块,内部呈低弱或混合回声,壁厚11例,可见光点11例。7例表皮样囊肿超声表现为囊性团块,壁薄,内部为无回声3例、低回声4例,可见光点5例。结论 皮样囊肿与表皮样囊肿超声表现有一定的特征性,认识其特征有助于对疾病的诊断。 [关键词] 皮样囊肿; 表皮样囊肿; 超声诊断 [中图分类号] R604 [文献标识码] A [文章编号] 1673-9701(2009)33-82-02 Ultrasound Diagnosis of Dermoid Cyst and Epidermoid Cyst LIU Hongtao1 LU Man2 1.Functional Division,the Affiliated Hospital of Sichuan Academy of Medical Sciences Sichuan Provincial People’s Hospital,Chengdu 610101,China;2.Ultrasounal Division,the AffiliatedHospital of Sichuan Academy of Medical Sciences Sichuan Provincial People’s Hospital,Chengdu 610072,China [Abstract] ObjectiveTo investigate the ultrasound characteristics of dermoid cyst and epidermoid cyst and their diagnosis. MethodsThe results of ultrasound manifestations were analysed in 12 patients with dermoid cyst and 7 patients with epidermoid cyst,and all the patients were confirmed pathologically. ResultsIn the 12 patients with dermoid cyst,ultrasound showed cystic lumps,weak or mixed with low internal echoes,and wall thickness and visible points in 11 patients. In the 7 patients with epidermal cyst,ultrasound showed cystic lumps and thin wall and the visible point in 5 cases,with internal echo-free in 3 cases and low-echo in 4 cases.ConclusionDermoid cyst and epidermoid cyst in ultrasonography have their own characteristics. Understanding the characteristics contributes to the diagnosis of the diseases. [Key words]Dermoid cyst; Epidermoid cyst; Ultrasonic diagnosis 皮样囊肿(dermoid cyst)和表皮样囊肿(epidermoid cyst)在发病机制、病理解剖上均有不同,但二者超声却不易鉴别。本文总结了近年来行超声诊断并经病理证实的12例皮样囊肿与7例表皮样囊肿的超声表现,探讨二者超 声表现的异同,以提高超声诊断的准确率。 1 资料与方法 1.1 一般资料 本研究总结了2007年5月～2009年9月于我院经超声检查并经病理证实为皮样囊肿或表皮样囊肿的门诊及住院患者。皮样囊肿12例,最小2岁,最大68岁,平均23岁;2～6岁4例,20～36岁6例,56～68岁2例;左卵巢2例,右卵巢3例,左阔韧带1例,右睾丸1例,左面颊1例,右眼眶外缘1例,颈部2例,右耳廓1例。表皮样囊肿7例,最小22岁,最大77岁,平均53岁;口底1例,口角1例,左耳后1例,头部1例,右下颌骨浅表面1例,左卵巢1例,右附睾1例。 1.2 仪器与方法 采用TOSHIBA Xario、TOSHIBA aplio 80、GE