视盘毛细血管瘤的超声特征分析  

Analysis of ultrasonic diagnostic features of juxtapapillary capillary hemangioma

作　　者：李逸丰 杨文利 李栋军 王子杨 陈伟 赵琦 崔蕊 沈琳 刘倩 魏文斌 鲜军舫 Li Yifeng;Yang Wenli;Li Dongjun;Wang Ziyang;Chen Wei;Zhao Qi;Cui Rui;Shen Lin;Liu Qian;Wei Wenbin;Xian Junfang(Beijing Tongren Eye Center,Beijing Ophthalmology&Visual Sciences Key Lab,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科学与视觉科学重点实验室,100730

出　　处：《中华超声影像学杂志》2021年第2期161-166,共6页Chinese Journal of Ultrasonography

基　　金：北京市医院管理局临床医学发展专项经费资助(ZYLX201704);北京市医院管理中心"登峰"计划专项经费资助(DFL20190203)。

摘　　要：目的探讨视盘毛细血管瘤的超声特征。方法回顾性分析2015-2018年在北京同仁医院眼科临床确诊的7例视盘毛细血管瘤,总结超声检查中病变的大小、形态、内部回声、继发改变及病变内血流情况。结果7例患者超声均可测及视盘前占位性病变。病变大小:基底径(5.39±1.90)mm×(4.79±1.28)mm,高度(3.61±1.37)mm。病变形态:5例呈类圆形,2例呈不规则形。病变回声强弱:3例病变内部为中回声,4例病变内部为高回声。内回声均匀:5例内回声均匀,2例内回声不均匀。继发改变:6例存在继发视网膜脱离和玻璃体混浊,1例伴有其他部位的视网膜血管瘤。彩色多普勒超声:所有病例均可在病变内部测及血流信号,呈树枝状、条状或斑点状,血流频谱为动脉-静脉相伴行的血流频谱。结论视盘毛细血管瘤具有一定的超声特征,超声检查可为临床提供有价值的诊断信息和随访依据。Objective To discuss the characteristics of ultrasound diagnosis of optic disc capillary hemangioma.Methods The study analyzed retrospectively 7 cases of optic disc capillary hemangioma diagnosed in the Beijing Tongren Hospital from 2015 to 2018.The size,morphology,internal echo,and secondary changes of the lesion were analyzed during ultrasound examination.Color Doppler flow imaging was used to check the blood flow in the lesion.Results Pre-optic disc occupying lesions could be detected in the ultrasound images of the 7 cases.Lesion size:average base diameters(5.39±1.90)mm×(4.79±1.28)mm,average height(3.61±1.37)mm.Lesion morphology:5 cases were round,and 2 cases were irregular.Echo within the lesion:3 cases had medium echo inside the lesion,and 4 cases had high echo inside the lesion.Internal echo characteristics:5 cases had uniform echo,and 2 cases had uneven echo.Secondary changes:6 cases had secondary retinal detachment and vitreous opacity,and 1 cases was accompanied by retinal hemangioma in other parts.In all cases,blood flow signals could be detected inside the space-occupying lesions,which were in the form of branches,stripes or spots,and the blood flow spectrum showed a parallel spectrum of arteries and veins.Conclusions Ultrasound examination of optic disc capillary hemangioma has certain characteristics,which can provide a valuable follow-up basis for clinical diagnosis.

关 键 词：超声检查 毛细血管瘤 视盘 

分 类 号：R739.7[医药卫生—肿瘤] R445.1[医药卫生—临床医学]