| 田梅,黄志杰,王永瑞,杨裕佳,邱逦,唐远姣.基于临床及超声表现鉴别分叶状毛细血管瘤与甲床外血管球瘤[J].中国医学影像技术,2025,41(12):2041~2044 |
| 基于临床及超声表现鉴别分叶状毛细血管瘤与甲床外血管球瘤 |
| Clinical and ultrasonic manifestations for differentiating lobular capillary hemangioma and extraungual glomus tumor |
| 投稿时间：2025-04-12 修订日期：2025-12-09 |
| DOI：10.13929/j.issn.1003-3289.2025.12.022 |
| 中文关键词: 血管瘤,毛细血管 血管球瘤 超声检查 |
| 英文关键词:hemangioma, capillary glomus tumor ultrasonography |
| 基金项目:国家重点研发计划(2023YFC2410802)、四川省国际科技创新合作/港澳台科技创新合作项目(2025YFHZ0232)。 |
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| 中文摘要: |
| 目的 观察临床及超声表现用于鉴别分叶状毛细血管瘤(LCH)与甲床外血管球瘤(EGT)的价值。方法 回顾性纳入37例LCH (LCH组)及25例EGT (EGT组),比较组间临床及超声参数,观察其鉴别效能。结果 组间病程、病灶部位,皮损隆起、溃疡或出血和疼痛占比,病灶解剖层次、形态,以及紧贴骨皮质和血管柄征占比差异均有统计学意义(P均＜0.05)。病程、病灶部位、皮损隆起、皮损溃疡或出血、疼痛及紧贴骨皮质均有助于鉴别LCH与EGT(P均＜0.05),其曲线下面积分别为0.845、0.689、0.831、0.811、0.839及0.653;其中,病程及皮损隆起为鉴别二者的独立影响因素(P均＜0.05)。结论 临床及超声表现,特别是病程及皮损隆起均有助于鉴别诊断LCH与EGT。 |
| 英文摘要: |
| Objective To observe the value of clinical and ultrasonic manifestations for differentiating lobular capillary hemangioma (LCH) and extraungual glomus tumor (EGT). Methods Thirty-seven patients with LCH (LCH group) and 25 patients with EGT (EGT group) were retrospectively enrolled. Clinical and ultrasonic parameters were compared between 2 groups, and their efficacy for differentiating LCH and EGT were observed. Results Significant differences of the course of disease, location, the proportions of skin damage elevation, ulceration or bleeding and pain, anatomical layers and morphology of lesions, as well as the proportions of close to cortical bone and vascular pedicle sign of lesions were found between groups (all P＜0.05). The course of disease, location, skin damage elevation, skin damage ulceration or bleeding, pain and close to cortical bone were helpful for differentiating LCH and EGT (all P＜0.05), with area under the curve of 0.845, 0.689, 0.831, 0.811, 0.839 and 0.653, respectively. Among them, the course of disease and skin damage elevation were both independent factors of differentiating LCH and EGT (both P＜0.05). Conclusion Clinical and ultrasonic manifestations, especially the course of disease and skin damage elevation, were helpful for differentiating LCH and EGT. |
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