彩色多普勒超声对蔓状血管瘤的诊断

Diagnosis of congenital aneurysm by color Doppler ultrasonography

目的:探讨彩色多普勒超声在诊断蔓状血管瘤中的应用价值。方法:对16例蔓状血管瘤患者进行二维及彩色多普勒超声检查,同时部分肿物进行三维重建及拓宽视野成像。结果:本组16例经彩色多普勒超声诊断蔓状血管瘤后经手术病理及血管造影进一步证实。蔓状血管瘤声像图主要表现为:瘤体内部呈近似不均质无回声,无回声内可见不规则走行迂曲呈管状或呈条索状弱回声或高回声。CDFI血流丰富,呈五彩镶嵌状。三维成像及拓宽视野成像技术可以很好的反映出瘤体的立体形态、范围及与周围组织的关系。结论:彩色多普勒超声对蔓状血管瘤的诊断及治疗方式的选择有重要的应用价值。三维超声及拓宽视野成像技术是二维超声的很好补充。

Objective： To study the value of color Doppler ultrasonography in diagnosing congenital aneurysm. Methods： Two-dimensional ultrasonogram and color Doppler uhrasonography were performed in 16 cases of congenital aneurysm. Threedimentional reconstruct of the aneurysms and wide-eyesight imaging technique were performed simultaneously. Results： After the diagnosis by color Doppler uhrasonography, the diagnosis of the 16 cases is further approved by pathology and angiography. The sonograms of congenital aneurysm manifestate mainly as follow： the inside of the body is a familiar heterogeneous echoless area, or an echoless area with irregular weak or strong echo of strip or tubal form. CDFI possesses rebundant blood flow which seems to like various kinds of colors mixed together. The three-dimensional imaging technique and wide-eyesight imaging technique can reflect the stereo form, scale of the aneurysm body and its relationship with the tissue around it. Conclusions： Color Doppler uhrasonography is of important application value to the clinical diagnosis and selection of the treatment. Three-dimensional ultrasound and wide-eyesight imaging technique are good supplements to two-dimensional ultrasound.