脾血管瘤的超声分型与诊断分析  

Ultrasonic Typing and Diagnostic Analysis for Spleen Angioma

作　　者：陈志奎[1] 张秀娟[1] 钱清富 吴宇卉 叶琴[1] 薛恩生[1] 林礼务[1] Chen Zhikui;Zhang Xiujuan;Qian Qingfu;Wu Yuhui;Ye Qin;Xue Ensheng;Lin Liwu(Department of Ultrasound,Fujian Medical University Affiliated Union Hospital,Ultrasonic Medical Institute of Fujian Province,Fuzhou,Fujian 350001 ,China)

机构地区：[1]福建医科大学附属协和医院超声科,福州市350001

出　　处：《中国超声医学杂志》2019年第1期84-86,共3页Chinese Journal of Ultrasound in Medicine

基　　金：福建省卫生系统中青年骨干人才培养重点项目(No.2015-ZQN-ZD-13)

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.

关 键 词：脾脏 血管瘤 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R733.2[医药卫生—诊断学]