常规超声联合颈部加压诊断眼眶静脉性血管畸形的价值  

Value of conventional ultrasonography combined with cervical compression in the diagnosis of orbital venous malformation

作　　者：党晓楚 马瑞[2] 李月月 陈颖颖 马宇童 张云[1] 张璇[1] 王雪娟[1] 苗玉倩 马秀珠 杨新吉 吕发勤[1] Dang Xiaochu;Ma Rui;Li Yueyue;Chen Yingying;Ma Yutong;Zhang Yun;Zhang Xuan;Wang Xuejuan;Miao Yuqian;Ma Xiuzhu;Yang Xinji;Lyu Faqin(Department of Ultrasound Medicine,the Third Medical Centre of Chinese PLA General Hospital,Beijing 100039,China;Department of Ophthalmology Orbital Disease,the Third Medical Centre of Chinese PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第三医学中心超声科,北京100039 [2]解放军总医院第三医学中心眼科医学部眼眶病科,北京100039

出　　处：《中华超声影像学杂志》2023年第5期444-448,共5页Chinese Journal of Ultrasonography

基　　金：NSFC天元基金重点研发项目(12026604);解放军总医院军事医学创新研究项目(CX19025)。

摘　　要：目的探讨常规超声联合颈部加压对眼眶静脉性血管畸形(OVM)的诊断价值。方法序贯性收集2019年1月至2022年7月临床疑似OVM的患者43例,均于中国人民解放军总医院第三医学中心就诊并行超声检查(联合颈部加压),且手术或数字减影血管造影(DSA)明确诊断,总结OVM常规超声特征,探讨常规超声联合颈部加压诊断OVM的价值。结果常规超声联合颈部加压诊断OVM的超声表现为:内部以管状结构为主,压缩试验阳性,颈部加压后病灶增大,内部管状结构内径增宽,多普勒血流成像显示病灶内以静脉血流为主。与手术或DSA结果比较,超声诊断联合颈部加压的敏感性、特异性、准确率和阳性预测值分别为0.952、1.000、95.3%、100%。Fisher确切概率法显示超声诊断与手术或DSA证实的OVM结果差异无统计学意义(P>0.05)。结论常规超声联合颈部加压可作为诊断OVM的有效方法。Objective To explore the value of conventional ultrasonography combined with cervical compression in the diagnosis of orbital venous malformation(OVM).Methods A total of 43 patients with suspected OVM were admitted in sequentially from January 2019 to July 2022 in the Third Medical Center of PLA General Hospital.All patients were examined by ultrasonography combined with cervical compression and demonstrated by operation or digital subtraction angiography(DSA).The conventional ultrasound features of OVM were summarized,and the value of conventional ultrasonography combined with cervical compression in the diagnosis of OVM was discussed.Results The features of the conventional ultrasound combined with cervical compression for diagnosis of OVM were as follows:the interior of lesion was mainly tubular structure,and the compression test was positive.After cervical compression,the lesion enlarged and the inner diameter of the internal tubular structure widened.Doppler flow imaging showed that the interior of lesion was mainly venous blood flow.Compared with the results of postoperative pathology or DSA,the sensitivity,specificity,accuracy and positive predictive value of ultrasonography combined with cervical compression were 0.952,1.000,95.3%and 100%,respectively.The results of Fisher exact diagnosis showed that there was no significant difference between ultrasonography and operation or DSA of OVM(P>0.05).Conclusions Conventional ultrasound combined with cervical compression can be used as an effective method for the diagnosis of OVM.

关 键 词：超声检查 多普勒 眼眶病 静脉性血管畸形 颈部加压 

分 类 号：R445.1[医药卫生—影像医学与核医学] R777.5[医药卫生—诊断学]