压差试验在高频彩超诊断浅表软组织血管瘤中应用评价.docVIP

压差试验在高频彩超诊断浅表软组织血管瘤中应用评价 　　【摘要】 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。 　　【关键词】 压差； 彩超； 浅表； 血管瘤； 评价 　　【Abstract】 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. 　　【Key words】 Differential pressure； Colour dopple ultrasound； Superficial； Hemangioma； Evaluation 　　First-author’s address：The Tumor Hospital of Ganzhou，Ganzhou 341000，China 　　doi：10.3969/j.issn.1674-4985.2015.31.005 　　传统的血管瘤分为毛细血管瘤、海绵状血管瘤、蔓状血管瘤[1]。血管瘤可发生于皮肤和皮下组织，发生于皮肤者根据病史和体征大多可做出诊断，而位于皮下特别是病变弥漫的血管瘤，往往需要借助影像学检查，同时需要与其他常见软组织病变鉴别。本文通过对103例浅表软组织（皮下及肌间）病变进