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彩超及超声造影对软组织肉瘤术后残留的诊断价值

吴隘红 罗丽 蒋耀煌 冯玉洁 李敏

中国临床医学影像杂志2025,Vol.36Issue(2):137-140,4.
中国临床医学影像杂志2025,Vol.36Issue(2):137-140,4.DOI:10.12117/jccmi.2025.02.014

彩超及超声造影对软组织肉瘤术后残留的诊断价值

Diagnostic value of color ultrasound and contrast-enhanced ultrasound for postoperative soft tissue sarcoma residual

吴隘红 1罗丽 1蒋耀煌 1冯玉洁 1李敏1

作者信息

  • 1. 重庆大学附属肿瘤医院超声医学科,重庆 400030
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摘要

Abstract

Objective:To explore the diagnostic value of color ultrasound and contrast-enhanced ultrasound for postopera-tive soft tissue sarcoma(STS)residual.Methods:The clinical and ultrasonic data of 15 cases of STS patients treated in our hospital from November 2015 to March 2022 who were found by color ultrasound examination and confirmed by pathology within 10 days to 1 month after STS operation were retrospectively analyzed.Twenty cases of postoperative changes confirmed by CT,MRI,continuous imaging follow-up or puncture pathology were collected as control group.P/F<0.05 was considered as statistically significant to evaluate the value of color ultrasound and contrast-enhanced ultrasound in postoperative STS residu-al.Results:There were significant differences in anteriorposterior diameter,transverse diameter,texture,patular hyperecho,form,peripheral echo and internal blood flow between 15 patients with residual STS and 20 patients with postoperative changed(P/F<0.05).The number of contrast-enhanced ultrasound cases was small,and there was no significant difference be-tween the two groups.There was no significant difference between the accuracy of ultrasound diagnosis(46.7%,7/15)and that of CT or MRI diagnosis(14.3%,2/14)in 15 patients with residual lesions after STS(P=0.109).Conclusion:The positive accura-cy rate of imaging examination within 1 month after STS is low.When color ultrasound examination after STS shows a large range of low echo,uneven texture,patchy high echo inside,regular shape,no significant changes in the surrounding tissue,internal flow signal,residual lesions should be considered.The cases of CEUS are few and need to be further studied.

关键词

肉瘤/超声检查

Key words

Sarcoma/Ultrasonography

分类

临床医学

引用本文复制引用

吴隘红,罗丽,蒋耀煌,冯玉洁,李敏..彩超及超声造影对软组织肉瘤术后残留的诊断价值[J].中国临床医学影像杂志,2025,36(2):137-140,4.

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