高频超声对创伤性神经瘤的诊断价值分析

目的 研究高频超声对创伤性神经瘤的诊断价值。方法 回顾性收集分析32例创伤性神经瘤病例,高频超声观察创伤性神经瘤的部位、大小、形态、数量、内部回声情况、内部血流情况,与周围神经及周围组织的关系。结果 32例病例平均年龄为(43.1±16.6)岁,年龄＜60岁者29例,病灶最大者2.1 cm×2.7 cm,最小者0.4 cm×0.2 cm;23例呈椭圆形,6例呈类圆形,3例形态欠规则;23例边界清晰,9例边界模糊;21例内部呈不均匀低回声,9例内部可见少许高回声,2例内部回声可见高低混杂回声;27例可见与神经相连续,5例患者未见明显神经相连续;彩色多普勒20例未见明显血流信号,6例周边可见血流信号,5例内见少许血流信号,1例周边及内部见血流信号;20例患者有疼痛、麻木等感觉异常,部分探头加压后症状加重。结论 高频超声可以对创伤性神经瘤做出有效的评估,为临床治疗计划提供有效信息。

Diagnostic value of high frequency ultrasound in traumatic neuroma

Objective To study the diagnostic value of high frequency ultrasound in traumatic neuroma.Methods Thirty-two cases with traumatic neuroma were retrospectively collected and analyzed. High-frequency ultrasound was used to observe the location, size, morphology, number, internal echo status, internal blood flow, and the relationship with peripheral nerve and surrounding tissues.Results Thirty-two cases were collected, and the average age was (43.1±16.6) years old, with 29 cases under 60 years old; the largest lesion was 2.1 cm ×2.7 cm, and the smallest was 0.4 cm ×0.2 cm; 23 cases were oval, 6 cases were round-like, and 3 cases were irregular; 23 cases were with clear boundary and 9 were with blurred boundary; 21 cases showed uneven hypoechoic inside, 9 cases had a little hyperechoic inside, and 2 cases had a mixed echo inside; there were 27cases with nerve continuation, but no significant neurological continuity was found in 5 cases; color Doppler examination showed no obvious blood flow signal in 20 cases, 6 cases of peripheral blood flow signal, 5 cases of internal blood flow signal and 1 case of peripheral and internal blood flow signal; there were 20 patients with pain, numbness and other sensory abnormalities after pressure.Conclusion High frequency ultrasound can effectively evaluate traumatic neuroma and provide effective information for clinical treatment plan.