外周神经内血管畸形的超声诊断价值探讨  

Value of ultrasonography in diagnosing peripheral intraneural vascular anomalies

作　　者：王铁铮[1] 亓恒涛[1] 徐磊[2] 包守刚[1] 牟晓飞[1] 张先东[1] 滕剑波[1] Wang Tiezheng;Qi Hengtao;Xu Lei;Bao Shougang;Mu Xiaofei;Zhang Xiandong;Teng Jianbo(Department of Ultrasound,Shandong Medical Imaging Research Institute,Jinan 250021,China;Department of Vascular Surgery,Shandong Provincial Hospital,Jinan 250021,China)

机构地区：[1]山东省医学影像学研究所超声室,济南250021 [2]山东省立医院血管外科,济南250021

出　　处：《中华超声影像学杂志》2019年第8期709-712,共4页Chinese Journal of Ultrasonography

基　　金：山东省医药卫生科技发展计划项目(2017WS609).

摘　　要：目的探讨超声对外周神经内血管畸形的诊断价值。方法对10例经外科手术或病理证实的外周神经内血管畸形的患者行超声检查,对其声像图表现进行回顾性分析,总结其声像图特征。结果超声可清晰显示外周神经内血管畸形的位置、累及范围及内部血流信号等信息,并确定血管畸形的分类,外周神经内血管畸形声像图表现为受累神经增粗,内可见管状结构,与神经束膜分界欠清,彩色多普勒内可见丰富的动静脉血流(动静脉畸形)及低速静脉血流信号(静脉畸形)。结论超声是诊断外周神经内血管畸形首选的影像学检查方法。Objective To evaluate the value of ultrasonography in diagnosing peripheral intraneural vascular anomalies. Methods The ultrasonographic images of 10 patients with peripheral intraneural vascular anomalies confirmed by surgery or pathology were retrospectively analyzed. The ultrasonographic features were summarized. Results The ultrasonographic images could not only clearly show the location, involvement and blood supply of peripheral intraneural vascular anomalies, but also determined the classification of them. Ultrasonography showed enlarging nerves, within which tubular structures could be observed, and the boundary between the vascular malformations and the perineurium was not clear. Abundant arteriovenous blood flow (arteriovenous malformation) or low velocity venous blood flow (venous malformation) within the vascular anomalies could be detected by color Doppler examination. Conclusions Ultrasonography is the preferred imaging method for diagnosis of peripheral intraneural vascular anomalies.

关 键 词：超声检査 多普勒 彩色 外周神经 血管畸形 

分 类 号：R445.1[医药卫生—影像医学与核医学]