Power Doppler ultrasound assessment of vascularization in hidradenitis suppurativa lesions
Power Doppler ultrasound assessment of vascularization in hidradenitis suppurativa lesions
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DOI：
10.1111/jdv.14745
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发表时间：
2018-08-01
影响因子：
9.2
通讯作者：
Bianchi, L.
中科院分区：
文献类型：
--
作者：
Caro, R. D. Caposiena;Solivetti, F. M.;Bianchi, L.
背景超声(US)和能量多普勒(PD)是研究和监测化脓性汗腺炎(HS)患者的有用工具。目的描述HS结节、脓肿和瘘管的PD信号。方法对轻、中、重度化脓性汗腺炎患者的PD进行回顾性分析，收集所有人口学和临床资料。根据超声形态对病变进行分类，描述了血管的程度--高、中、微--以及分布--外周、内部和混合。结果61例HS患者共2 41个病灶，62个结节，脓肿，单纯性瘘管99个，复杂性瘘管16个。血管分布呈周围型143/241，混合型55/241，内侧型0/241，与临床类型无关。无论临床类型如何，定性多普勒显示高血管病变44/241个，中度血管病变79/241个，微小血管病变75/241个。所有皮损均显示耐药指数
BackgroundUltrasound (US) and Power Doppler (PD) US are useful tools to study and monitor the patients with hidradenitis suppurativa (HS).ObjectiveDescribe the PD signal of HS nodules, abscesses and fistulas.MethodsA retrospective analysis of PD in mild, moderate and severe HS patients, collecting all demographic and clinical data. The lesions were classified according to their US morphology, describing the vascular degree - high, moderate and minimal - and distribution - peripheral, internal and mixed. Statistical analysis was performed using odds ratio and bivariate regression.ResultsA total of 241 lesions, 62 nodules, 64 abscesses, 99 simple fistulas and 16 complex fistulas, from 61 patients with HS, were included. Vascular distribution was defined peripheral in 143/241, mixed in 55/241 and internal in 0/241 lesions, regardless the clinical type. Qualitative Doppler showed high vascularization in 44/241 lesions, moderate in 79/241 and minimal in 75/241, despite the clinical type. All lesions showed resistive index