孙超,何立红,张平锋.超声诊断鳃裂畸形[J].中国医学影像技术,2013,29(7):1099~1102
超声诊断鳃裂畸形
Ultrasound in diagnosis of branchial cleft anomalies
投稿时间:2012-12-18  修订日期:2013-02-05
DOI:
中文关键词:  鳃原瘤  鳃裂瘘  超声检查
英文关键词:Branchioma  Fistula  Ultrasonography
基金项目:
作者单位E-mail
孙超 南方医科大学附属中山市博爱医院医学超声科, 广东 中山 528403 doctorsun1980@gmail.com 
何立红 南方医科大学附属中山市博爱医院医学超声科, 广东 中山 528403  
张平锋 南方医科大学附属中山市博爱医院医学超声科, 广东 中山 528403  
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中文摘要:
      目的 探讨高频彩色多普勒超声诊断鳃裂囊肿及鳃裂瘘的价值。 方法 回顾13例鳃裂畸形患者的声像图表现,结合手术所见及病理结果进行对照分析。 结果 3例为鳃裂囊肿,超声表现为囊性团块伴或不伴长短不一的瘘管残迹;4例为鳃裂囊肿并瘘管,超声表现为囊性团块伴细管状通道;4例为鳃裂囊肿并感染,超声表现为囊性团块,内回声细密,壁厚,边不清;2例为鳃裂瘘。13例患者中,10例病灶位于颈前区,2例位于锁骨下前胸壁,1例位于右下颌后角后。超声诊断与术中所见符合率为84.62%(11/13),与病理结果符合率92.31%(12/13)。 结论 高频彩色多普勒超诊断鳃裂畸形准确、可靠,可作为首选影像学检查方法。
英文摘要:
      Objective To observe the value of ultrasound in diagnosis of branchial cleft anomalies. Methods Ultrasonographic features of 13 cases of branchial cleft anomalies were analyzed and compared with the findings of operation and pathology. Results Branchial cleft cysts were found as cystic masses with/without the remnant of fistula aside in 3 cases, as cysts with thin tubular fistulas communicating with pharynx in 4 cases, as cysts with inflammation in 4, and as branchial cleft fistulas without cysts in 2 patients. Ten cases of branchial cleft anomalies located at the front of neck, 2 at beside manubrium sterni, while 1 in the posterior aspect of right mandibular angle. The coincidence rate of ultrasonic diagnosis with operation and pathology was 84.62% (11/13) and 92.31% (12/13), respectively. Conclusion High frequency color Doppler ultrasound is accurate and reliable for diagnosis of branchial cleft anomalies, which can be used as the first selected imaging examination.
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