视网膜毛细血管瘤的超声影像特征  

Ultrasonographic features of retinal capillary hemangioma

作　　者：魏串串 杨文利 李栋军 王子杨 陈伟 赵琦 李逸丰 崔蕊 沈琳 刘倩 WEI Chuanchuan;YANG Wenli;LI Dongjun;WANG Ziyang;CHEN Wei;ZHAO Qi;LI Yifeng;CUI Rui;SHEN Lin;LIU Qian(Department of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Sciences,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,北京100730

出　　处：《中国眼耳鼻喉科杂志》2022年第5期443-446,451,共5页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的 分析视网膜毛细血管瘤的超声影像学特征。方法 收集22例(29眼)视网膜毛细血管瘤的超声影像学资料,分析病变的位置、形态、内部回声、大小、继发改变及病变内血流灌注情况。结果 22例(29眼)视网膜毛细血管瘤患者,平均年龄为(30±16)岁,双眼患病7例(31.8%)。病变位于视网膜周边部22眼(75.9%),位于后极部7眼(24.1%);病变贴附于球壁前17眼(58.6%),位于脱离的视网膜上12眼(41.4%);病变表现为类圆形回声11眼(37.9%),表现为不规则形回声15眼(51.8%);表现为内部回声呈中等回声26眼(89.7%),表现为内部回声均匀23眼(79.3%);病变平均基底径为(6.7±2.8)mm×(6.2±2.5)mm,平均隆起高度为(2.8±1.2)mm;合并玻璃体混浊26眼(89.7%),其中合并视网膜脱离23眼(88.5%);彩色多普勒血流成像(CDFI)检查显示病变内可探及明显血流信号27眼(93.1%)。结论 视网膜毛细血管瘤的超声表现具有一定的特征性。其典型表现:脱离的视网膜上可探及不规则形或类圆形病变,病变多位于周边部,呈中等回声,内回声均匀,边界较清晰,常伴发玻璃体混浊,CDFI检查病变内可探及明显血流信号,可为临床诊断及随访提供依据。Objective To analyze the ultrasonographic features of retinal capillary hemangioma.Methods Twenty-two patients(29 eyes) with retinal capillary hemangioma diagnosed in the Beijing Tongren Hospital from 2013 to 2022 were enrolled retrospectively. The B-mode ultrasonography was used to analyze the location, morphology, internal echo, size and secondary changes of the lesions. Color Doppler flow imaging(CDFI) was used to check the blood flow in the lesion. Results The mean age at onset was(30±16) years.Among the 22 patients(29 eyes) with retinal capillary hemangioma, both eyes were involved in 7 patients(31.8%). The lesions were located in the peripheral retina in 22 eyes(75.9%) and in the posterior pole in 7 eyes(24.1%). Lesions in 17 eyes(58.6%) were attached to the anterior wall of eyeball and in 12 eyes(41.4%) were located in the detached retina. Ultrasound showed round-shaped echo lesion in 11 eyes(37.9%), and irregularshaped echo lesion in 15 eyes(51.8%). The echoes in the lesions were medium in 26 eyes(89.7%), and were homogeneous in 23 eyes(79.3%). The mean height of the lesions was(2.8±1.2) mm with an average base diameter at(6.7±2.8) mm ×(6.2±2.5) mm. Vitreous opacity occurred in 26 eyes(89.7%) and secondary retinal detachment occurred in 23 eyes(88.5%). CDFI showed obvious blood flow signal in lesions of 27 eyes(93.1%). Conclusions Retinal capillary hemangioma has certain characteristics in ultrasonography, which can provide a reliable basis for clinical diagnosis and follow-up.

关 键 词：视网膜毛细血管瘤 von Hippel-Lindau病 超声检查 彩色多普勒血流成像 

分 类 号：R445.1[医药卫生—影像医学与核医学] R739.7[医药卫生—诊断学]