| 摘要: |
| 目的 观察并分析软纤维瘤(皮赘)的二维及彩色多普勒超声特征。方法S回顾性分析经病理证实的18例软纤维瘤的二维超声及彩色多普勒超声图像特点,并复习相关文献。结果 18例软纤维瘤,发病平均年龄：38.3±10.5岁,女性17例,男性1例；其发生部位：8例位于乳头,3例位于臀部,2例位于下肢；2例位于会阴部,2例位于腋窝,1例位于胸壁,其中位于胸壁者为多发,余者均是单发。二维超声：肿块最大径线≤10 mm者 13例(72.2%),>10 mm者 5例(27.8%),边界清楚16例(88.9%),形态规则15例(83.3%),13例(83.3%)有蒂与皮肤层相连,肿块位于皮肤层内5例(27.8%)；内部回声：弱回声16例(88.9%),稍强回声2例(11.1%),内部回声均匀16例(88.9%),内部回声不均匀2例(11.1%),其中1例团块内可见片状无回声区。彩色血流分级：0-1级14例(77.8%)； 2级3例；3级1例,其中2级及3级血流分级者病变伴感染。 结论 软纤维瘤好发于女性,常位于皮肤褶皱区域,如颈部、躯干、腋窝、乳房及生殖器区域,超声影像学特征为边界多清楚,形态多规则,多数有蒂与皮肤层相连,少数位于皮肤层内,最大径线多≤10mm,内部多为均匀弱回声,无明显血流信号,伴感染者血流信号丰富 |
| 关键词: 软纤维瘤 二维超声 彩色多普勒 |
| DOI： |
| 投稿时间：2017-04-04修订日期：2017-05-16 |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| Two-dimensional and Color Doppler Ultrasonic Features of Soft Fibroma |
| Tian Ye,Qiu Li |
| (Department of Ultrasound,West China Hospital of Sichuan University) |
| Abstract: |
| Objective: To observe and analyze the soft fibroma (skin tag) of two-dimensional and color doppler sonographic features. Methods: Two dimensional ultrasound and Color Doppler manifestation of 18 patients with soft fibroma confirmed by pathology were analyzed retrospectively and related literatures were reviewed. Results: Among 8 patients, the age: (38.3±10.5) year,female 17 cases,male 1 case.Masses located at nipple in 8 patients, at hip in 3 patients, at lower limbs in 2 patients,at perineum in 2 patients,at axilla in 2 patients and at walls of the chest in 1 patient, which is located at the chest wall to multiple, the rest are single. In the 18 cases, The two-dimensional ultrasonic manifestations：In 13 cases the maximal diameter of mass line is less than 10 mm (72.2%), 5 cases of mass >10 mm (27.8%), 16 cases with clear boundary (88.9%), 15 cases with morphological rules(83.3%), of 13 cases with pedicle skin layer(83.3%) and 5 cases of mass is in the skin layer (27.8%); internal echo: weak echo in 16 cases (88.9%), strong echo in 2 cases (11.1%), homogeneous echo in 16 cases (88.9%), uneven internal echo in 2 cases (11.1%), including 1 case of mass with lamellar echoless areas in the mass.Color flow classification: level0-1 in 14 cases (77.8%), level 2 in 3 cases, level 3 in 1 case, of which 2-3 level blood flow classification of patients with infection.Conclusion: Soft fibroma often occurs in women, often located in the skin fold areas, such as the neck, trunk, axillary, breast and genital area, ultrasound imaging features were more clearly boundary and regular shape, and most pedunculated skin layer and a few was in the skin layer, the maximum diameter of line less than 10mm, Sthe inside was more homogeneous weak echo, with no obvious blood flow signal,but abundant blood flow signal with infection. |
| Key words: Soft fibroma two dimensional ultrasound Color Doppler |
