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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (01) : 89 -95. doi: 10.3877/cma.j.issn.1672-6448.2024.01.014

综述

超声在评价儿童骨与软组织肿瘤中的应用
赵一冰1, 陈涛1,()   
  1. 1. 100035 北京积水潭医院超声科
  • 收稿日期:2022-04-22 出版日期:2024-01-01
  • 通信作者: 陈涛
  • 基金资助:
    北京积水潭医院院级科研基金《髋关节发育不良血液供应变化的超声学研究》(2019-YJ05)
  • Received:2022-04-22 Published:2024-01-01
引用本文:

赵一冰, 陈涛. 超声在评价儿童骨与软组织肿瘤中的应用[J]. 中华医学超声杂志(电子版), 2024, 21(01): 89-95.

图1 8岁男性骨软骨瘤患儿超声声像图。图a示右侧股骨远端内侧可见骨性隆起,呈宽基底,表面可见低回声软骨帽覆盖(箭头),图b肿物内未见明显血流信号
图2 11岁女性动脉瘤样骨囊肿患儿超声声像图。图a:右侧胫骨近端可见骨质破坏,内呈多房囊性结构,并可见“液-液平面”(箭头);图b:肿物分隔及囊壁处可见血流信号
图3 5岁女性骨嗜酸性肉芽肿患儿超声声像图。图a:声像图显示左侧胫骨近端可见骨质破坏,内呈实性低回声,见多发斑点状强回声;图b:肿物内血流较丰富
图4 9岁男性骨肉瘤患儿超声声像图。图a:左侧股骨干骺端可见骨质破坏,内部及周围软组织内可见实性低回声肿物,肿物内可见针状强回声瘤骨,并可见骨膜中断;图b:肿物周边可见较丰富血流信号,呈“树枝状”分布;图c:瘤体内呈高阻力动脉血流频谱
图5 3岁女性尤因肉瘤患儿超声声像图。图a:右侧股骨远段可见骨质破坏,内部及周围软组织内可见实性低回声肿物;图b:肿物内可见放射状骨膜新生骨;图c:肿物周围可见丰富血流信号
图6 2岁男性脂肪母细胞瘤患儿超声声像图。图a:右小腿后方肌层内可见高回声肿物,形态尚规则,边界清楚,回声尚均匀;图b:肿物内见较多血流信号
图7 8岁男性神经血管瘤患儿超声声像图。图a:沿右侧尺神经(箭头)走行内部及周围可见实性低回声肿物,内见较多迂曲管状结构;图b:沿肿物横断面观察可见增粗的神经束散在分布于血管瘤内;图c:探头加压周围组织,肿物内可见较多血流信号
图8 5岁女性婴儿型纤维肉瘤患儿超声声像图。图a:右侧股骨下段肌层内可见较大实性低回声肿物,边界清楚,内回声不均匀;图b:肿物内血流丰富
图9 14岁男性弥漫型神经纤维瘤患儿超声声像图。图a:左上臂及肩背部皮下脂肪层增厚,内呈高低相间的条带状改变,边界不清;图b:肿物内血流较多
图10 1岁女性腱鞘囊肿患儿超声声像图。图a:左环指掌指关节处屈肌腱旁可见一囊性肿物,囊壁光滑,囊液清亮,内未见分隔;图b:肿物未见明显血流信号
图11 10岁男性Baker囊肿患儿超声声像图。图a:右侧腓肠肌内侧头和半膜肌肌腱之间可见一囊性肿物,囊壁光滑,囊液清亮,内可见分隔;图b:肿物未见明显血流信号
图12 14岁女性毛母质瘤患儿超声声像图。图a:颈部皮下可见低回声肿物,内可见团块状强回声;图b:肿物周边可见稍多血流信号
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