目的 通过总结韧带样型纤维瘤病（DF）的超声图像表现和病理学结构，以提高对DF的认识和诊断水平。 方法 回顾性分析2005年1月－2011年12月70例经手术和病理组织学证实为DF患者的超声图像和病理组织学结果。 结果 DF肿块的超声表现与病理结构密切相关。70例DF中腹部外型41例（58.6%）、腹壁型18例（25.7%）、腹内型11例（15.7%）。DF的典型超声图像表现为沿肌纤维浸润性生长的低回声肿块,累及多块肌肉；肿块无包膜,多数形态不规则、边界不清；其中8例包绕和侵犯相邻骨质, 12例肿瘤压迫或侵犯邻近血管、神经、肠管等组织；40例瘤体内探及Ⅰ级血流信号，4例探及Ⅲ级血流信号；所有病变均未见坏死出血和囊变，病变周围无淋巴结肿大。 结论 DF的声像图表现有较强的特征性，超声能较为准确判断肿块累及范围、是否侵犯相邻骨质、与毗邻血管、神经的关系，有助于制定手术计划。
The sonographic features of male breast lesions, which underwent ultrasound examination in our hospital for the past 10 years, were retrospectively analyzed. Sonographic features of these lesions were standardized as BI-RADS image lexicon. The differences in ultrasonic malignant signs were assessed between the benign and the malignant diseases. Between the two groups, incomplete boundary was statistically different. The specificity was above 95% within the two groups in terms of speculated margin, echogenic halo, calcification, axillary lymphadenopathy, thickening of skin and eccentric of mass to the nipple. High-frequency sonographic examination has a high level of differential diagnosis for male breast lesions.