脾血管瘤的超声分型与诊断分析
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摘要
目的探讨脾血管瘤的超声分型及诊断与鉴别诊断。方法对经手术病理证实的18例脾血管瘤的声像图表现与超声诊断等资料进行回顾性分析。结果 18例脾血管瘤共20个病灶纳入统计分析,其中30%为高回声型,35%为低回声型,20%为实性为主型,15%呈囊性为主或囊性型。不同超声分型的脾血管瘤形态均较规则,边界较清楚,85%病灶乏血供。超声对高回声型病灶诊断准确性明显高于非高回声型(P=0.002)。结论超声对非高回声型脾血管瘤诊断准确性低,应结合临床及超声造影等技术,以提高诊断符合率。
Objective To analyze the ultrasonic typing and diagnosis of spleen angioma.Methods To retrospectively analyze the ultrasonic feature and diagnosis of 18 cases of spleen angioma confirmed by pathology.Results Included 20 lesions in 18 cases of spleen angioma were analyzed,and 30% were hyperechoic,35% hypoechoic,20%mainly solid and 15% mainly cystic/completely cystic.Most lesions appeared as regular form,clear boundary,and85%lesions showed deficient blood flow signal.The ultrasound diagnostic accuracy of hyperechoic lesions was obviously higher than that of non-hyperechoic lesions.Conclusions Low diagnostic accuracy was found in non-hyperechoic spleen angioma;combining with clinical data and contrast-enhanced ultrasonography may improve the diagnostic accuracy of ultrasound.
Objective To analyze the ultrasonic typing and diagnosis of spleen angioma.Methods To retrospectively analyze the ultrasonic feature and diagnosis of 18 cases of spleen angioma confirmed by pathology.Results Included 20 lesions in 18 cases of spleen angioma were analyzed,and 30% were hyperechoic,35% hypoechoic,20%mainly solid and 15% mainly cystic/completely cystic.Most lesions appeared as regular form,clear boundary,and85%lesions showed deficient blood flow signal.The ultrasound diagnostic accuracy of hyperechoic lesions was obviously higher than that of non-hyperechoic lesions.Conclusions Low diagnostic accuracy was found in non-hyperechoic spleen angioma;combining with clinical data and contrast-enhanced ultrasonography may improve the diagnostic accuracy of ultrasound.
引文
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[4]郁敏,李小强,黄坊,等.脾脏窦岸细胞血管瘤临床病理分析[J].临床与实验病理学杂志,2016,32(1):91-93.
[5]谭石,苗立英,王晓华.成人原发腹部淋巴管瘤超声表现[J].中国医学影像学杂志,2012,20(10):762-764.
[6]姜露莹,杜联芳,杨亚汝,等.灰阶参数造影诊断脾占位性病变的初步应用[J].中国超声医学杂志,2009,25(1):44-47.
[7]周琦,白玉莲,姜珏,等.超声造影对脾脏良恶性病变的诊断价值[J].中国超声医学杂志,2010,26(12):1105-1108.
[8]覃新干,黄源,林进令,等.脾血管瘤手术指征探讨[J/OL].中华临床医师杂志:电子版,2013,7(11):5147-5148.
[2]李福鹏,邱法波.脾脏血管瘤病人403例回顾性分析[J].齐鲁医学杂志,2015,30(5):532-534.
[3]李桂臣,陈旭春,成东华,等.原发性脾肿瘤的诊断与治疗[J].中国医科大学学报,2013,42(12):1095-1098.
[4]郁敏,李小强,黄坊,等.脾脏窦岸细胞血管瘤临床病理分析[J].临床与实验病理学杂志,2016,32(1):91-93.
[5]谭石,苗立英,王晓华.成人原发腹部淋巴管瘤超声表现[J].中国医学影像学杂志,2012,20(10):762-764.
[6]姜露莹,杜联芳,杨亚汝,等.灰阶参数造影诊断脾占位性病变的初步应用[J].中国超声医学杂志,2009,25(1):44-47.
[7]周琦,白玉莲,姜珏,等.超声造影对脾脏良恶性病变的诊断价值[J].中国超声医学杂志,2010,26(12):1105-1108.
[8]覃新干,黄源,林进令,等.脾血管瘤手术指征探讨[J/OL].中华临床医师杂志:电子版,2013,7(11):5147-5148.