广州医药 ›› 2018, Vol. 49 ›› Issue (2): 42-45.DOI: 10.3969/j.issn.1000-8535.2018.02.011

• 论著 • 上一篇    下一篇

声触诊组织定量技术在肾上腺肿瘤诊断中的初步应用

赵景   

  1. 长沙市第四医院超声诊断科(长沙 410006)
  • 收稿日期:2017-10-14 出版日期:2018-03-20 发布日期:2021-12-01
  • 通讯作者: 赵景,E-mail:zhaojingchina@foxmail.com

The preliminary application of virtual touch tissue quantification technique in the diagnosis of adrenal tumors

ZHAO Jing   

  1. The Department of Ultrasonic Diagnosis, The Fourth Hospital of Changsha,Changsha 410006,China
  • Received:2017-10-14 Online:2018-03-20 Published:2021-12-01

摘要: 目的 探讨声触诊组织定量(virtual touch tissue quantification,VTQ)技术在肾上腺肿瘤诊断中的应用价值。方法 对50例患者共50个肾上腺肿瘤及同侧肾皮质进行VTQ检查,获取肾上腺肿瘤及同侧肾皮质剪切波速度(shear wave velocity,SWV)值,比较肾上腺肿瘤与同侧肾皮质及肾上腺肿瘤各类型之间SWV值,全部病例均经手术后病理证实。结果 病理证实恶性肿瘤5个,良性肿瘤45个。良、恶性肿瘤之间SWV值的差异无统计学意义。肿瘤与同侧肾皮质之间SWV值的差异有统计学意义。髓样脂肪瘤、神经鞘瘤、皮质腺瘤、皮质腺癌及嗜铬细胞瘤之间,除皮质腺瘤、皮质腺癌及嗜铬细胞瘤之间SWV值的差异无统计学意义外,其余任两组之间SWV值的差异有统计学意义。结论 VTQ技术可以提供肾上腺肿瘤的硬度及弹性信息,在肾上腺肿瘤的诊断中具有一定应用价值。

关键词: 超声检查, 肾上腺肿瘤, 弹性, 声触诊组织定量

Abstract: Objective To evaluate the application value of virtual touch tissue quantification (VTQ) technique in the diagnosis of adrenal tumors.Methods VTQ was performed in 50 patients with 50 adrenal tumors and ipsilateral renal cortex, to obtain the shear wave velocity(SWV) of adrenal tumors and ipsilateral renal cortex, the comparison between adrenal tumor and ipsilateral renal cortex and adrenal tumors of various types of SWV. All cases were pathologically confirmed after operation.Results 5 malignant tumors and 45 benign tumors were confirmed by pathology. The difference of SWV between benign and malignant tumors was not statistically significant. The difference of SWV between tumor and ipsilateral renal cortex was statistically significant. Among myelolipoma, schwannoma, adrenocortical adenoma, pheochromocytoma and adrenocortical carcinoma in addition to differences in adrenocortical adenoma, pheochromocytoma and adrenocortical carcinoma, SWV value was not statistically significant; it was statistically significant difference between the two groups in any other SWV.Conclusion VTQ technology may provide hardness and elasticity of the adrenal tumors; it has certain application value in the diagnosis of adrenal tumors.

Key words: Ultrasonography, Adrenal tumors, Elasticity, Virtual touch tissue quantification