超声诊断儿童颅骨骨膜窦的临床价值  

Clinical value of ultrasonic diagnosis of sinus pericranii in children

作　　者：孙妮[1] 高洋[1] 杨春江[1] 唐毅[1] 王荞[1] 肖欢[1] SUN Ni;GAO Yang;YANG Chunjiang;TANG Yi;WANG Qiao;XIAO Huan(Department of Ultrasound,Children’s Hospital of Chongqing Medical University,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院超声科,重庆市400014

出　　处：《临床超声医学杂志》2019年第4期300-302,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声在儿童颅骨骨膜窦诊断中的临床应用价值。方法选取在我院行超声检查并经手术证实为颅骨骨膜窦的18例患儿,总结其超声表现,并与CT检查结果对比分析。结果 18例患儿术前二维超声均显示病变处头皮下可复性囊性肿块,探头加压肿块消失;13例肿块与骨膜关系密切,肿块深层骨皮质凹陷或可见缺损;16例肿块内见低速静脉血流;10例病变内血供经骨皮质缺损处与颅内静脉血管相通。CT平扫示18例可见颅外软组织肿块影;15例骨窗见相应部位颅骨变薄、缺损或颅骨破坏;12例CTA见局部异常血管团通过板障静脉或导血管与硬脑膜静脉窦相通。超声和CT对颅骨骨膜窦患儿肿块、颅骨改变和病变内异常血管的诊断一致性均较好(Kappa=1.00、0.68、0.77)。结论超声诊断颅骨骨膜窦具有较好的临床应用价值,可作为诊断该病的首选影像学检查方法。Objective To evaluate the clinical application value of ultrasonic diagnosis of sinus pericranii in children. Methods Eighteen cases of sinus pericranii confirmed by surgery were reviewed retrospectively and their ultrasonic features were analyzed,and compared with the results of CT. Results Two-dimensional ultrasound of 18 cases showed reducible cystic masses under the scalp before surgery,which disappeared with probe compression. Masses in 13 cases had a close relationship with the periosteum,and cortical depression or defect could be observed under the masses. Of 16 cases,slow velocity venous blood flow inside the masses was found. It could be observed that the blood vessels inside the masses connected to the intracranial veins through the defect of the cortex in 10 cases. CT plain scan in 18 cases revealed extracranial soft tissue masses. Skull thinning,defect or skull destruction in 15 cases of bone window,CTA showed local abnormal vessels communicating with the dural venous sinus through the lamellar barrier vein or the conductive vessel in 12 cases. There were good consistency of ultrasound and CT in diagnosis of masses,skull changes and abnormal ressels in sinus pericranii children(Kappa=1.00,0.68, 0.77). Conclusion Ultrasonic diagnosis of sinus pericranii is effective,screening imaging methods as the first choice for this disease and could provide reliable imaging information before surgery.

关 键 词：超声检查 颅骨骨膜窦 儿童 

分 类 号：R445.1[医药卫生—影像医学与核医学]