协和医学杂志Issue(3)：312-317,6.DOI:10.3969/j.issn.1674-9081.2014.03.013
鳃裂囊肿和鳃裂瘘管的超声成像特征
Sonographic Characteristics of Brachial Cleft Cysts and Brachial Cleft Fistulas
张波 1杨筱 1姜玉新 1李文波 1齐振红 1谭莉 1张璟 1杨倩1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院超声医学科，北京100730
- 折叠
摘要
Abstract
Objective To investigate the value of gray-scale and color Doppler ultrasound in the diagnosis of brachial cleft cysts and brachial cleft fistulas .Methods The sonographic and clinical records of 19 patients with pathologically proven brachial cleft cysts and brachial cleft fistulas between January 2010 and January 2014 were retrospectively reviewed and the sonographic characteristics of the brachial cleft abnormalities were analyzed . Results Fourteen cases were diagnosed as brachial cleft cysts (5 were First, 9 were Second), 5 cases were di-agnosed as brachial cleft fistulas (1 was First, 2 were Second, 1 was Third, 1 was Fourth).On the ultrasound, the brachial cleft cysts manifested as round or oval in 92.8%(13/14) , and 85.7% (12/14) had a sharp border;50.0% (7/14) were echo-free, and floating echo points could be found in 2 of them.Also, 14.3% (2/14) had solid cysts with small cystic structure , and 28.6%(4/14) had purely heterogeneous solid cysts .Color Doppler flow imaging ( CDFI ) showed 28.6% ( 4/14 ) were peripherally vascularized and 71.4% ( 10/14 ) were not vascularized .In the 5 patients with brachial cleft fistulas , 4 (80%) had hypo-echoic strips or irregular shape , 2 (40%) showed the fistula, 3 (60%) were solid, and 2 (40%) were mixed solid and cyst.CDFI showed 2 (40%) were inner-part vascularized , 1 (20%) was peripherally vascularized , and 2 (40%) were not vas-cularized .Conclusion Brachial cleft cysts and brachial cleft fistulas have typical ultasound manifestations , which can guide the preoperative diagnosis of these diseases .关键词
鳃裂异常/鳃源瘤/瘘/超声/诊断Key words
brachial cleft abnormality/branchioma/fistula/ultrasound/diagnosis分类
医药卫生引用本文复制引用
张波,杨筱,姜玉新,李文波,齐振红,谭莉,张璟,杨倩..鳃裂囊肿和鳃裂瘘管的超声成像特征[J].协和医学杂志,2014,(3):312-317,6.
