颈部肿块血管造影诊断

Angiography Diagnosis of Neck Mass

目的：探讨颈部肿块的血管造影表现及其对颈部肿块的诊断价值。材料与方法：２８例颈部肿块患者，２５例经手术病理证实。血管性肿块１３例，其中假性动脉瘤７例，静脉瘤３例，动脉迂曲３例；非血管性肿块１５例，其中颈部动脉体瘤９例，神经鞘膜瘤４例，海绵状淋巴管瘤２例。分析其血管造影表现，并与临床、手术病理结果对比分析。结果：１３例血管性肿块和９例颈动脉体瘤因有典型的造影表现与病理结果一致，其余６例因缺少肿瘤血管或典型表现而误诊或诊断不明。血管造影诊断准确率为７８．６％，临床诊断准确率为５７．６％。结论：血管造影是颈部肿块影像学检查有效方法之一，对血管性肿块和颈动脉体瘤可以确诊，同时可了解Ｗｉｌｉｓ环功能及肿块周围动脉累及情况，指导外科手术方式。

Objective: To investigate the angiography features of neck mass, and to evaluate its diagnostic value.Materials and Methods:28 cases of neck masses, which 25 cases confirmed by operation and pathology. 13 cases were vascular masses, including 7 false aneurysms, 3 phlebangiomas and 3 artery tortuousities. There were 15 nonvascular masses, including 9 carotid body tumors, 4 neurilemomas, and 2 carvernous lymphangiomas. Comparison between their angiographic findings and the clinicpathology were analysed.Results:13 cases of vascular masses and 9 cases of carotid body tumors which had typical angiographic features, were diagnosed correctly. Other 6 cases lacking of typical angiographic features, couldn′tdiagnose correctly.Conclusion: Angiography is a useful imaging method to diagnose neck mass, especially for vascular mass and carotid body tumor and draw up the surgical plan.