彩色多普勒血流显像技术在婴幼儿先天性声门下血管瘤中的应用  

Applied value of color Doppler flow imaging in diagnosis of congenital subglottic haemangioma in infant

作　　者：孙晓卫 刘小芳 房玉辉 李武轩 马运 刘懿初 SUN Xiaowei;LIU Xiaofang;FANG Yuhui;LI Wuxuan;MA Yun;LIU Yichu(Department of Otolaryngology,Qilu Children's Hospital of Shandong University,Ji'nan,250022,China;Department of Ultrasound Imaging,Qilu Children's Hospital of Shandong University)

机构地区：[1]山东大学齐鲁儿童医院耳鼻喉科,济南250022 [2]山东大学齐鲁儿童医院超声影像科

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第4期321-324,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨彩色多普勒血流显像(CDFI)技术在婴幼儿先天性声门下血管瘤(CSH)诊断中的价值。方法:回顾性分析行喉部CDFI检查的18例CSH患儿资料,观察正常喉部及CSH的图像特点及瘤体外形、大小、血流特点。18例患儿均给予口服普萘洛尔治疗,分别于治疗1周、1个月、3个月后复查喉部CDFI。结果:CDFI可清晰显示18例声门下血管瘤的位置、形态、大小、范围以及与气道、周围组织的关系。声门下血管瘤CDFI图像显示瘤体呈团块状或结节状,内见丰富血流信号或者斑片状血流信号。血管瘤位于声门下右侧壁6例,声门下左侧壁8例,双侧4例。结论:CDFI技术可以应用于声门下血管瘤的诊断,在显示其大小、范围、与气道关系等方面具有优势,特别是在后期的治疗随访中更简便快捷。Objective: To investigate the value of color Doppler flow imaging(CDFI) in the diagnosis of congenital subglottic hemangioma(CSH) in infants. Methods: The data of 18 children with CSH who underwent laryngeal CDFI examination were collected and analyzed retrospectively, and compared with those who underwent laryngeal ultrasound examination at the same time. The shape, size, blood flow characteristics of the tumor and its relationship with airway were observed. Eighteen cases were treated with propranolol orally. CDFI of larynx was reexamined after 1 week, 1 month and 3 months of treatment. Results: CDFI could clearly show the location, shape, size and range of CSH in 18 cases, as well as the relationship with airway and surrounding tissues. CDFI images of CSH showed that the tumor was massive or nodular with abundant or patchy blood flow signals. Hemangioma was found in 6 cases on the right side, 8 cases on the left side, and 4 cases on both sides. Conclusion: CDFI can be used in the diagnosis of subglottic hemangioma. It has advantages in displaying its size, scope and relationship with airway, especially in the later treatment and follow-up.

关 键 词：婴幼儿 先天性声门下血管瘤 声门 彩色多普勒显像 

分 类 号：R445.14[医药卫生—影像医学与核医学]