【摘要】 目的 探討腎上腺髓樣脂肪瘤的彩色多普勒超聲表現和超聲診斷價值。 方法 回顧性分析2005年3月-2010年9月58例61個經手術及病理證實的腎上腺髓脂肪瘤病灶的彩色多普勒超聲表現，對病變的大小、內部回聲特點及血流特點進行分析。 結果 在2005年3月-2007年12月的28個病灶超聲診斷出腎上腺病變23個，正確率82.1%；診斷為髓脂肪瘤2個，正確率7.1%；漏診1個，誤診4個。2008年1月-2010年9月，33個病灶超聲診斷出腎上腺病變30個，正確率90.9%；診斷為髓脂肪瘤19個，正確率57.6%；無漏診，誤診3個。52個病灶超聲表現為邊界清晰，形態基本規則，內部呈均勻中等強回聲（與腎集合系統回聲相當），內部未測及血流信號， 另8個病灶表現為中等強回聲與低回聲相間。 結論 腎上腺髓樣脂肪瘤具有特征性的彩色多普勒超聲聲像圖表現， 可用于發現病變并對多數腎上腺髓樣脂肪瘤做出定性診斷。
【Abstract】 Objective To evaluate the value of sonographic diagnosis of adrenal myelolipoma. Methods Sonographic findings from 58 patients with pathologically proved adrenal myelolipoma from March 2005 to September 2010 were retrospectively analyzed. The size of the lesion, internal echo features, and characteristics of blood flow were observed and analyzed. Results In 28 patients with pathologically proved adrenal myelolipoma from March 2005 to December 2007, adrenal lesions was diagnosed in 23 with an accurate rate of 82.1%; adrenal myelolipoma was diagnosed in two with an accurate rate of 7.1%; missed diagnosed in one; misdiagnosed was in four. In 33 patients with pathologically proved adrenal myelolipoma from January 2008 to September 2010, adrenal lesions was diagnosed in 30 with an accurate rate of 90.9%; adrenal myelolipoma was diagnosed in 19 with an accurate rate of 57.6%; no missed diagnosed occurred; misdiagnosed was in three. The sonographic features in 52 lesions were smooth borders and homogeneous hyperechoic; no color Doppler flow signal inside was detected. Conclusion Adrenal myelolipoma has special sonographic features. Ultrasonography is a reliable imaging method for the diagnosis of adrenal myelolipoma.
引用本文： 全杰榮,羅燕,文曉蓉,林玲,邱邐,李朝霞. 腎上腺髓脂肪瘤的彩色多普勒超聲診斷. 華西醫學, 2010, 25(11): 1969-1971. doi: 復制