高频彩色多普勒超声在小儿浅表组织血管瘤及血管畸形鉴别诊断中的价值  

Value of high-frequency color Doppler ultrasound in the differential diagnosis between hemangioma and vascular malformation of pediatric superficial tissue

作　　者：王冰[1] 苏畅[1] 索丹[1] 岳莉[1] WANG Bing SU Chang SUO Dan YUE Li.(Department of Ultrasonic Medicine, People＇s Hospital of Liaoning Province, Shenyang 110016, China)

机构地区：[1]辽宁省人民医院超声医学科,辽宁沈阳110016

出　　处：《中国美容整形外科杂志》2016年第10期600-602,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨彩色多普勒超声在小儿浅表组织血管瘤和血管畸形鉴别诊断中的价值。方法回顾性分析34例经高频彩色多普勒超声诊断及手术病理证实为浅表血管瘤及血管畸形的病例,将超声诊断结果与病理结果相对比,总结其超声特点。结果超声诊断的检出率为100%。经超声诊断血管瘤11例,静脉畸形13例,动脉畸形10例。除2例静脉畸形误诊为动脉畸形外,其余分型均与病理分型相符。超声诊断与病理诊断符合率为94.1%(32/34)。结论高频超声对小儿浅表组织血管瘤及血管畸形的鉴别诊断具有重要的临床价值,可作为首选的影像学检查方法。Objective To explore the value of high-frequency ultrasonography in the differential diagnosis between hemangioma and vascular malformation of pediatric superficial tissue. Methods Thirty-four cases with superficial hemangioma or vascular malformation who were ultrasound diagnosed by high-frequency color Doppler and confirmed by surgical pathology were analyzed retrospectively. Comparison between the ultrasonic diagnosis and pathological results was carried out and the ultrasonic characteristics were summarized. Results The detection rate of the ultrasonic diagnosis of 11 hemangiomata, 13 venous malformations and 10 artery malformations was 100% , except 2 cases of venous malformation misdiagnosed as artery malformation. All results of ultrasound diagnosis coincided with pathological diagnoses. Diagnostic ultrasound and pathological diagnosisrate was 94.1 % （32/34）. Conclusion High frequency ultrasound has important clinical value in the differential diagnosis between hemangioma and vascular malformation of pediatric superficial tissue. It can he used as the preferred inspection method.

关 键 词：血管瘤 血管畸形 高频彩色多普勒超声 鉴别诊断 浅表组织 小儿 

分 类 号：R732.2[医药卫生—肿瘤] R445.1[医药卫生—临床医学]