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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (10) : 1103 -1106. doi: 10.3877/cma.j.issn.1672-6448.2023.10.018

综述

超声诊断病理性瘢痕的应用进展
姜美娟, 吴晓瑾, 陈剑()   
  1. 310006 杭州,浙江大学医学院附属妇产科医院超声科
    322000 义乌,浙江大学医学院附属第四医院超声医学科
  • 收稿日期:2022-10-17 出版日期:2023-10-01
  • 通信作者: 陈剑

Progress in application of ultrasound in diagnosis of pathologic scar

Meijuan Jiang, Xiaojin Wu, Jian Chen()   

  • Received:2022-10-17 Published:2023-10-01
  • Corresponding author: Jian Chen
引用本文:

姜美娟, 吴晓瑾, 陈剑. 超声诊断病理性瘢痕的应用进展[J]. 中华医学超声杂志(电子版), 2023, 20(10): 1103-1106.

Meijuan Jiang, Xiaojin Wu, Jian Chen. Progress in application of ultrasound in diagnosis of pathologic scar[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1103-1106.

病理性瘢痕(pathologic scar,PS)主要包括增生性瘢痕(hypertrophic scar,HS)及瘢痕疙瘩(keloid)。瘢痕的形成不仅影响外观,其伴随的瘙痒和疼痛还会严重影响患者的生活质量。病理性瘢痕诊断的金标准是病理组织学检查,但病理检查有创、程序复杂、耗时较长,同时操作可能导致瘢痕恶化,因此在瘢痕诊断中的使用率较低。而目前临床常规通过临床医师及患者主观的观察与感受,根据瘢痕评定量表评估与诊断瘢痕,其具有主观性,且可重复性低,并不能客观、准确地评估瘢痕的性质特征及治疗后的疗效。近年来,随着高频超声的应用与发展,其在皮肤疾病的诊断以及治疗监测方面受到越来越多的关注。与此同时,除传统的灰阶超声、彩色多普勒超声和能量多普勒超声之外,超声弹性成像、超声造影、三维超声成像等新型成像模态发展迅速,使得高频超声能够同时观察皮肤的硬度、血流等信息,拓展了高频超声在皮肤疾病的临床研究和应用领域。因此,本文将对超声在皮肤病理性瘢痕诊断中的应用做一综述。

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