彩色多普勒超声在诊断鳃裂囊肿中的应用

Application of Doppler color sonography in the diagnosis of branchial cleft cysts

目的分析鳃裂囊肿的彩色多普勒超声声像学特点,为临床诊断与鉴别诊断提供依据。方法回顾分析经手术及病理证实为鳃裂囊肿10例病例的彩色多普勒超声声像图表现,并与手术、病理结果对照分析。结果 10例鳃裂囊肿彩色多普勒超声表现为囊性包块9例,不均匀实性低回声结节1例,超声诊断与手术病理结果符合率为70%。结论彩色多普勒超声诊断鳃裂囊肿较准确、可靠,可明确包块内部回声及其与周围组织的关系,是临床诊断与鉴别诊断以及手术切除的重要辅助检查,对瘘管的走行方向也有重要提示作用,可为保证手术切除范围的精准提供依据。

Objective To analyze the features of Doppler color sonography in the diagnosis of branchial cleft cysts and to pro -vide evidence for clinical and differential diagnoses .Methods Retrospective analysis was made on Doppler color sonography images of 10 cases of branchial cleft cysts confirmed by surgery and pathology , then, they were compared with the surgical/pathological results ob-tained.Results In the 10 cases of branchial cleft cysts diagnosed by Doppler color sonography , 9 cases were cystic masses and 1 case was uneven hypoecho solid nodule , with a coincidence rate of 70%between Doppler color sonography diagnosis and surgical /pathologi-cal results obtained .Conclusion In the diagnosis of branchial cleft cysts , Doppler color sonography was an accurate and reliable meth-od, which could tell the relationship between echoes and surrounding tissues .It was an important accessory method for clinical and dif-ferential diagnoses , and surgical excision as well .Besides, it could offer an important indication on the location of branchial fistula , therefore it could provide good evidence for accurate surgical performance .