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儿童甲状舌管囊肿合并感染超声图像分析 被引量:1

Image analysis of ultrasonography in children with infected thyroglossal duct cyst
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摘要 目的总结分析儿童甲状舌管囊肿(TDC)合并感染的超声图像特点.提高该病的诊断准确率。方法经病理组织检查证实的67例TDC合并感染的儿童患者,其中男性44例,女性23例;年龄2~13岁,中位年龄5.6岁。回顾性分析其超声图像,分别从病灶部位、大小、形态、边界、囊壁厚度、内部回声、后壁回声增强及彩色多普勒血流成像(CDFI)等方面总结该病图像特点。结果儿童TDC合并感染主要超声图像特点为厚壁或囊壁显示模糊多见,内部回声以混浊、伴粗光点、絮状回声及不均匀混合回声为主,多无后壁回声增强,CDFI于病灶囊壁间、病灶内部及周围组织可检出血流信号。结论儿童TDC合并感染有相对特异的超声图像特点,超声对该病可早期作出诊断及鉴别诊断.为临床医生提供有效可靠的诊疗依据. Objective To summarize and analyze image characteristics of ultrasonography in children with infected thyroglossal duct cyst(TDC), and improve the diagnostic accuracy of the disease. Methods A total of 67 cases of infected TDC proven by pathology were enrolled, included 44 males and 23 females, who were aged 2 - 13 years old with a median age of 5.6. The uhrasonography images were retrospectively analyzed, and image characteristics included location, size, shape, edge, wall thickness, internal echo, posterior wall echo enhancement and color Doppler flow imaging(CDFI) were analyzed. Results The main image features of infected TDC in children were thick or obscure wall blurred, mainly showed internal echo cloudy with rough spots and uneven mixing enhancement, without posterior echo enhancement. Flow signals were detected in wall lesions and lesions with surrounding tissue by CDFI. Conclusion It is demonstrated that infected TDC in children have relatively specific image characteristics by ultrasonography. Ultrasonography could be used for early and differential diagnosis, and it can provide effective and reliable evidence for clinical diagnosis and treatment.
出处 《生物医学工程与临床》 CAS 2014年第1期47-51,共5页 Biomedical Engineering and Clinical Medicine
关键词 儿童 甲状舌管囊肿 感染 超声 children thyroglossal duct cyst infect uhrasonography
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