彩超辅助下的皮下深部软组织内海绵状血管瘤的诊治

DIAGNOSIS AND TREATMENT OF SUBCUTANEOUS CAVERNOUS HEMANGIOMA WITH COLOR DOPPLER ULTRASONOGRAPHY

目的 准确、有效地对皮下深部软组织内海绵状血管瘤进行诊治。方法 1996年以来对 15例海绵状血管瘤患者采用彩色多普勒超声仪 (CD)确定血管瘤的诊断、定位 ;并在直接引导下行铜针栓塞治疗或者手术切除治疗。术后 2周～ 1年再以 CD对治疗效果进行判定与监测。结果 10例患者行直接引导下铜针穿刺 ,2例在 CD引导下直接铜针穿刺进行栓塞治疗 ,3例患者经手术切除 ,均取得满意效果。结论 在非创伤性的 CD辅助下 ,皮下深部软组织内的海绵状血管瘤可以明确诊断 。

Objective To discuss clinical application of the color Doppler ultrasonography in diagnosis and treatment of cavernous hemangioma in deep subcutaneous tissue. Methods From 1996, 15 cases of cavernous hemangioma were diagnosed and located with color Doppler ultrasonography and were embolized under monitoring of the ultrasonography or resected by operation before re examination of the hemangioma via the color Doppler ultrasonography after the intervention. Results Direct embolization was achieved in 10 cases after pinpoint location of the hemangioma by the ultrasonography, and guided embolization was performed successfully in 2 cases via the monitoring of ultrasonography, and operation had to be adopted to remove the focus. No reoccurrence of the hemangioma was observed in all the cases. Conclusion Cavernous hemangioma in deep subcutaneous tissue could be easily diagnosed and located with color Doppler ultrasonography, and could be removed by embolization under monitoring of the ultrasonography successfully.