彩色超声多普勒对小儿腹部神经母细胞瘤的诊断价值

Color Doppler for clildren abdominal neuroblastoma diagonostic value

目的:评价彩色超声多普勒对小儿腹部神经母细胞瘤的诊断价值。方法:回顾性分析1998年1月～2008年1月间小儿神经母细胞瘤32例的彩色超声多普勒声像图特点。结果:位于肾上腺区28例,位于盆腔2例。肝脏受侵犯6例,肾受侵犯12例,2例肾受侵犯者误诊为肾胚瘤。彩色多普勒肿块内见条状血彩。包绕腹主动脉、下腔静脉、肾动静脉、肠系膜动静脉等大血管18例。结论:彩色超声多普勒对神经母细胞瘤确诊及制定手术方案、治疗后随访有重要价值。

Objective ：To evaluate the diagnnostic value of Color Doppler for children abdominal neureblastoma. Methods： We reviewed the im- ages of color Doppler ultrasonography of 32 children with neuroblastoma who presented from january 1998 to January 2008. Results：30 cases of children with neuroblastoma, including 28 cases in the adrenal area ,2 cases in the pelvic cavity. Uhrasonography demonstrated invasion of the liver in 6 patients and invasion of the kidney in 12 patients ,2 cases of which were misdiagnosed as renal blastoma. Colour Doppler signals showed strip blood flow within the mas- ses. 18 cases surrounding the abdominal aorta and inferior vena cava, renal artery and vein, superior mesenteric artery and vein and other large vessels. Conclusion： Color Doppler ultrasound have important value to the final diagnosis of neuroblastoma and the development and follow - up of surgical treat- ment.