二维及三维超声对婴幼儿血管瘤的诊断价值
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摘要
目的探讨二维及三维超声对婴幼儿血管瘤的诊断价值。方法对95个体表婴幼儿血管瘤进行二维灰阶、彩色多普勒超声检查及其中69个血管瘤进行实时三维超声检查,根据瘤体侵犯的组织层次进行分类,分析各类型声像图特点。结果三种类型血管瘤的回声构成比、血流构成比、动脉收缩期峰值流速、静脉流速具有统计学差异。实时三维超声成像可显示血管瘤整体的血流空间分布,并能显示主要供应和回流血管的数目及位置。结论常规高频二维灰阶及彩色多普勒超声能够准确地对婴幼儿血管瘤进行诊断并分类,实时三维成像可直观立体地显示瘤体内的血管网,是二维超声的必要补充。
Objective To investigate the diagnostic value of the two-dimensional and three-dimensional ultrasound in infantile hemangiomas.Methods A total of 95 body surface infantile hemangiomas were examined with twodimensional and color Doppler ultrasound,69 hemangiomas were examined with three-dimensional ultrasonography,classified according to the level of organization of tumors had infringed,the ultrasonographic characteristics of each type were analyzed.Results The echo composition ratio,blood flow composition ratio,blood flow parameters PSV and venous velocity showed statistical difference berween the three types.Realtime three-dimensional ultrasonography was able to show the entire blood flow spatial distribution of the hemangiomas,as well as the numbers and positions of the main blood supply and return vasculars.Conclusions Two-dimensional high-frequency and color Doppler ultrasound were able to accurately diagnose and classify each type of infantile hemangiomas.Realtime three-dimensional ultrasonography was able to visually and stereoscopically display the intratumoral vascular network and it was a necessary complement to the two-dimensional ultrasonography.
Objective To investigate the diagnostic value of the two-dimensional and three-dimensional ultrasound in infantile hemangiomas.Methods A total of 95 body surface infantile hemangiomas were examined with twodimensional and color Doppler ultrasound,69 hemangiomas were examined with three-dimensional ultrasonography,classified according to the level of organization of tumors had infringed,the ultrasonographic characteristics of each type were analyzed.Results The echo composition ratio,blood flow composition ratio,blood flow parameters PSV and venous velocity showed statistical difference berween the three types.Realtime three-dimensional ultrasonography was able to show the entire blood flow spatial distribution of the hemangiomas,as well as the numbers and positions of the main blood supply and return vasculars.Conclusions Two-dimensional high-frequency and color Doppler ultrasound were able to accurately diagnose and classify each type of infantile hemangiomas.Realtime three-dimensional ultrasonography was able to visually and stereoscopically display the intratumoral vascular network and it was a necessary complement to the two-dimensional ultrasonography.
引文
[1]中华医学会整形外科分会血管瘤和脉管畸形学组.血管瘤和脉管畸形诊断和治疗指南(2016)[J].组织工程与重建外科杂志,2016,12(2):63-93.
[2]WANER M,SUEN J Y.Management of Congenital Vascular Lesions of the Head and neck[J].Oncology(Williston Park,N.Y.),1995,9(10):989-997.
[3]杨自鹏,王世东.超声在婴幼儿体表血管瘤诊断治疗中的应用价值[J].临床超声医学杂志,2015,17(5):357-358.
[4]马媛,熊屏,龚霞,等.深部婴幼儿血管瘤与小儿静脉畸形的超声鉴别诊断[J].中国超声医学杂志,2016,32(7):632-634.
[5]黄惠真,李伟,于倩,等.单用0.5%塞吗洛尔乳膏与联合得宝松局部注射治疗较厚的浅表性婴幼儿血管瘤的疗效比较[J].组织工程与重建外科杂志,2016,12(5):309-312.
[6]李艳宁,李智贤,卢月华,等.高频超声对正常成人皮肤厚度测量及声像研究[J].中国医学影像技术,2008,24(10):1622-1624.
[7]钟琳,唐远姣,杨裕佳,等.高频彩色多普勒超声对皮肤实性肿瘤诊断价值的初步研究[J].四川大学学报(医学版),2017,48(1):111-115.
[8]张振奇,卢漫,成雪晴,等.三维超声对肩袖撕裂的诊断价值[J].中国超声医学杂志,2016,32(12):1110-1112.
[2]WANER M,SUEN J Y.Management of Congenital Vascular Lesions of the Head and neck[J].Oncology(Williston Park,N.Y.),1995,9(10):989-997.
[3]杨自鹏,王世东.超声在婴幼儿体表血管瘤诊断治疗中的应用价值[J].临床超声医学杂志,2015,17(5):357-358.
[4]马媛,熊屏,龚霞,等.深部婴幼儿血管瘤与小儿静脉畸形的超声鉴别诊断[J].中国超声医学杂志,2016,32(7):632-634.
[5]黄惠真,李伟,于倩,等.单用0.5%塞吗洛尔乳膏与联合得宝松局部注射治疗较厚的浅表性婴幼儿血管瘤的疗效比较[J].组织工程与重建外科杂志,2016,12(5):309-312.
[6]李艳宁,李智贤,卢月华,等.高频超声对正常成人皮肤厚度测量及声像研究[J].中国医学影像技术,2008,24(10):1622-1624.
[7]钟琳,唐远姣,杨裕佳,等.高频彩色多普勒超声对皮肤实性肿瘤诊断价值的初步研究[J].四川大学学报(医学版),2017,48(1):111-115.
[8]张振奇,卢漫,成雪晴,等.三维超声对肩袖撕裂的诊断价值[J].中国超声医学杂志,2016,32(12):1110-1112.