论文部分内容阅读
目的探讨手腕部常见软组织肿块的类型及典型MRI表现,为临床诊断和鉴别诊断提供参考。方法回顾性分析2013年10月至2015年5月收治并经病理证实的38例手腕部肿块患者,分析肿块类型及其MRI表现。结果 38例患者中,15例为血管瘤,3例血管球瘤,10例腱鞘囊肿,3例腱鞘巨细胞瘤,2例脂肪瘤,2例痛风性滑膜炎,1例结核性滑膜炎,1例神经鞘瘤,1例腱鞘囊肿伴感染。其中28例术前与术后病理诊断结果完全相符,9例术前诊断不明确,1例误诊,定性诊断符合率较高。结论 MRI不仅可以明确手腕部常见软组织肿块的位置、范围,而且能初步确定肿块的性质,为临床进一步治疗提供有力的依据。
Objective To explore the types and typical MRI manifestations of common soft tissue mass in the wrist and to provide reference for clinical diagnosis and differential diagnosis. Methods A retrospective analysis of 38 patients with pathologically proven wrist mass from October 2013 to May 2015 was performed to analyze the type of mass and its MRI findings. Results Of the 38 patients, 15 were hemangiomas, 3 were angiomas, 10 were ganglion cysts, 3 were giant cell tumors of the tendon, 2 were lipomas, 2 were gouty synovitis, and 1 was tuberculous synovitis , 1 schwannooma and 1 case of ganglion cyst with infection. 28 cases of preoperative and postoperative pathological diagnosis of the full match, 9 cases of preoperative diagnosis is not clear, 1 case of misdiagnosis, qualitative diagnosis of high coincidence rate. Conclusion MRI can not only clarify the location and extent of common soft tissue mass in the wrist, but also determine the nature of the mass initially and provide a strong basis for clinical further treatment.