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体表血管脂肪瘤一例并文献复习 预览

Superficial Angiolipomas: A Case Report and Literature Review
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摘要 目的:血管脂肪瘤,在临床上其症状及体征多不典型,常易误诊为脂肪瘤、纤维瘤、血管瘤等,而它们的手术原则、治疗方式又不尽相同。本文报道笔者医院收治的1例右腹部体表血管脂肪瘤病例,通过其临床资料结合文献予以分析,探讨体表血管脂肪瘤的影像学诊断及临床治疗。该病例MRI平扫显示梭形异常信号影,T1WI呈等信号,T2WI呈稍高信号,抑脂序列病灶亦呈高信号,手术切除肿瘤,术后病理诊断为血管脂肪瘤,随访3个月,患者症状明显改善。因此,应加强对血管脂肪瘤的认识,获得血管脂肪瘤的最佳的诊断与治疗,诊断主要以磁共振为依据,治疗应以外科手术为主。 Objective Superficial angiolipomas, no typical clinical symptoms and signs, is difficult to be discover, it can lead to local compressive symptoms, hence clinically underdiagnosed as lipoma, fibroma, hemangioma, etc. A case of angiolipoma on the surface of right abdomen was reported, which the clinical data of a superficial angiolipomas patient in our hospital combined with literature,to investigate an effective diagnosis and treatment of superficial angiolipomas.Spindle abnormal signals on Thoracic MRI scan,signals on T1WI,slightly hyper intense signals on T2WI,signals increased on STIR. By postoperative pathological diagnosis of angiomyolipoma, the patient with operation excision superficial tumor, has improved obviously after 3 months of follow-up. As well as strengthen the awareness of it, to obtain the better diagnostic and surgical method.Mainly based on MRI,liposuction is the main treatment method for the diagnosis of the disease..
作者 徐卿芯 刘文明 万蓁蓁 崔光怀 XU Qing-xin;LIU Wen-ming;WAN Zhen-zhen;CUI Guang-huai(Department of Burn Plastic Surgery,Binzhou Medical University Hostipal, Binzhou 256600,Shandong,China)
出处 《中国美容医学》 CAS 2019年第3期86-88,共3页 Chinese Journal of Aesthetic Medicine
关键词 软组织肿瘤 血管脂肪瘤 MRI诊断 手术治疗 脂肪抽吸术 soft tissue tumor angiolipoma MRI dignosis resection liposuction
作者简介 徐卿芯,滨州医学院附属医院烧伤整形外科,全日制研究生;研究方向:整形外科;E-mail:bzyxyxqx@163.com;通信作者:崔光怀,滨州医学院附属医院烧伤整形外科主任、主任医师、硕士研究生导师;研究方向:创面愈合、新生儿皮肤缺损及重睑术E-mail:bzyxycgh@126.com.
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