| 摘要: |
| 目的 脾脏硬化性血管瘤样结节性转化的超声表现及诊断思路,提高脾脏肿瘤的术前诊断能力。方法 回顾性分析4例经手术证实的脾脏硬化性血管瘤样结节性转化的超声影像资料及病理资料。
结果 超声表现：4例均为单发，肿块边界与脾脏组织分界不清，肿块内部回声不均匀；整体表现为低回声3例，等回声1例；4例肿块内部均呈分叶样改变，其中1例肿块内可见散在钙化灶；彩色多普勒表现：肿块内可见血流信号，周边可见多条血管由肿块表面直插进入肿块中心，呈“轮辐状”。
结论 脾脏硬化性血管瘤样结节性转化是一种脾脏的良性病变，临床表现无特异性，术前主要靠影像学检查发现，超声检查有一定的特异性表现，手术切除脾脏后可治愈。 |
| 关键词: 脾脏，硬化性，血管瘤样，结节性转化 |
| DOI： |
| 投稿时间：2017-08-19修订日期：2017-10-06 |
| 基金项目: |
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| Diagnosis of the Spieen sclerosing Angiomatoid Nodular Transformation with color Doppler ultrasound:one case roport |
| YuKai |
| (People's Hospital of Dongxihu District Wuhan City) |
| Abstract: |
| Abstract: Objective Discussing the ultrasonic characteristics and diagnosis of spleen sclerosing angiomatoid nodular transformation,To improve the preoperative diagnostic ability of the spleen tumor.Methods Retrospective analysis of 4 cases of the sclerosing angiomatoid nodular transformation ultrasound imaging data and pathological data.Results The ultrasonographic findings were shown sa follows:4 cases represented as single lump, there is no clear boundary between the mass and the spleen, The internal echo of the mass is not uniform.3 cases of lesion were hypoechioc,1 caseoflesion were isoechoic. All the 4 cases showed achange of lobulated,1 case shown diffused calcifications inside the mass. CDFI: Blood flow signals can be seen in the mass, There are multiple blood vessels in the periphery of the tumor that can be inserted into the center of the mass, Looks like “Spokes shape”.Conclusions SANT is a benign lesion of the spleen , the clinical manifestations were nonspecific, it was awalys found by imaging examination before the operation,ultrasonography has certain specificity,SANT can be cure by splenectomy. |
| Key words: Spleen, sclerosing, angiomatoid, nodular transformation |
