| 骨骼肌肌内血管瘤的诊断及手术治疗 |
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Received:February 21, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 唐龙 |
TANG Long |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
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| 杨波 |
YANG Bo |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
yangbom333@vip.163.com |
| 尹飚 |
YIN Biao |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
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| 王簕 |
WANG Le |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
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| 章波 |
ZHANG Bo |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
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| 丁强 |
DING Qiang |
广州医科大学附属第三医院 骨科, 广东, 广州 510150 |
Department of Orthopaedics, the 3rd Affiliated Hospital to Guangzhou Medical University, Guangzhou 510150, Guangdong, China |
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| 期刊信息：《中国骨伤》2014年27卷，第12期，第1033-1035页 |
| DOI：10.3969/j.issn.1003-0034.2014.12.014 |
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目的: 探讨彩色多普勒超声及磁共振成像(magnetic resonance imaging,MRI)对肌内血管瘤(intramuscular hemangioma,IMH)的诊断价值,及其手术疗效.
方法: 自2000年12月至2013年1月,手术治疗54例经术后病理证实为IMH的患者,其中男19例,女35例;年龄11～59岁,平均33.6岁;病程2.5～15年,平均5.2年.38例行彩色多普勒超声检查,14例行MRI检查.所有患者证实后均采用手术治疗,观察手术时间、术中出血量及术后并发症、术后病理分型的情况,并采用IMH疗效评定标准对其手术疗效进行评价.
结果: 43例获得随访,时间7～49个月,平均28.4个月.手术时间(53～187) min,平均76.3 min;术中出血量(70～350) ml,平均223.6 ml; 术后无伤口感染及死亡等并发症发生.经彩色多普勒超声检查确诊35例(92.12%);MRI检查确诊13例(92.86%).术后Brown病理分型:毛细血管型20例,海绵状血管型22例,混合型12例.根据IMH疗效评价标准,优29例,良8例,不满意4例,差2例.
结论: 彩色多普勒超声、MRI对肌内血管瘤的确诊率高,临床应用价值显着;手术治疗肌内血管瘤疗效好,术后症状明显缓解或彻底消失,生活质量显着提高,复发率低. |
| [关键词]:肌,骨骼 血管瘤 诊断 外科手术 |
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| Diagnosis and surgery for intramuscular hemangioma of skeletal muscle |
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Abstract:
Objective: To explore effects of color Doppler ultrasound and magnetic resonance imaging (MRI) in diagnosis intramuscular hemangioma of skeletal muscle.
Methods: From December 2000 to January 2013,54 patients treated by operation confirmed as intramuscular hemangioma of skeletal muscle by pathology postoperatively,there were 19 males and 35 females aged from 11 to 59 years old(averaged 33.6); the courses of disease ranged from 2.5 to 15 years with an average of 5.2 years. Thirty-eight patients were checked by color Doppler ultrasound,and 14 patients were inspected by MRI. All patients were treated by operation. Postoperative operative time,blood loss in operation,and complications and pathology postoperatively were observed,and IMH clinical effective evaluating standard were used to evaluate clinical outcomes.
Results: Forty-three patients were followed up from 7 to 49 months with an average of 28.4 months. Operative time was(53 to 187) min with average of 76.3 min,blood loss was(70 to 350) ml with an average of 223.6 ml. No infections and death occurred. Thirty-five patients were diagnosed by color Doppler ultrasound and 13 patients were confirmed by MRI. Twenty patients were capillary type,22 patients were spongy vascular type and 12 patients were mixed type according to Brown pathological type. In accordance with IMH clinical effective evaluating standard,29 cases obtained excellent results,8 moderate and 4 dissatisfaction and 2 poor.
Conclusion: Color doppler ultrasound and MRI get a high rate diagnosing patients with intramuscular hemangioma and have an significant valuable in clinical application,and surgical operation which has advantages of relieve symptoms obviously,improve life quality and reduce recurrence rate,could receive good curative effect. |
| KEYWORDS:Muscle,skeletal Hemangioma Diagnosis Surgical procedure,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 唐龙,杨波,尹飚,王簕,章波,丁强.骨骼肌肌内血管瘤的诊断及手术治疗[J].中国骨伤,2014,27(12):1033~1035 |
| 英文格式: | TANG Long,YANG Bo,YIN Biao,WANG Le,ZHANG Bo,DING Qiang.Diagnosis and surgery for intramuscular hemangioma of skeletal muscle[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(12):1033~1035 |
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