摘要
目的 探讨二维和彩色多普勒超声对颈部囊状淋巴管瘤诊断和鉴别诊断的价值。方法 对9例经病理证实的颈部囊状淋巴管瘤患者 ,术前超声观察病灶的二维声像图特征和血供情况。结果 9例病灶均位于颈侧部、胸锁乳突肌后方 ;多数 (66.67% )大小在 2～ 4cm ;5例 (5 5 .5 6% )边界清晰 ,4例(4 4 .44 % )病灶后缘与深部组织粘连而边界欠清 (但前缘不与皮肤粘连 ) ;回声多为单纯囊肿型 (3 3 .3 3 % )和多房囊肿型 (5 5 .5 6% ) ,1例为实性为主的混合回声 ;4例淋巴管瘤内术后病理发现合并有血管瘤成分 ;6例 (66.67% )病灶内无血流信号 ,3例有少量动脉血流信号。
Objective To evaluate the significance of ultrasonography in the diagnosis and differentiation of cervical cystic lymphangioma.Methods In 9 patients (9 lesions) with cervical cystic lymphangioma,the ultrasonographic characteristics and color Doppler flow imaging of each lesion were observed and recorded. Results All these 9 lesions were localized in the laterocervical region, behind the sternocleidomastoid muscle. Most of the lesions(6/9, 66.67 %) had a size of 2～4 cm. There was a clear margin in 5 of 9 ( 55.56 %) lesions, whereas the other 4 lesions ( 44.44 %) were adherent to the deep planes but mobile under the skin. Three lesions showed a pure cyst and 5 lesions showed multi septations within the cyst. One lesion showed a feature of cystic solid mixed echoes. A hemangiomatous component was found in 4 of 9( 44.4 %) lesions by post surgically pathological results. Color Doppler showed no signals in 6 of 9 ( 66.67 %) lesions, whereas arterial signals were detected in 2 lesions in the septions within the cyst and in 1 lesion which has a mixed echoes.Conclusions There is significance of ultrasonography in the diagnosis and differentiation of the cervical cystic lymphangioma.
出处
《中华超声影像学杂志》
CSCD
2002年第7期413-415,共3页
Chinese Journal of Ultrasonography
