CAJ | 학술논문

目的：探讨鳃裂囊肿的二维及彩色多普勒超声特征。方法对2009年1月～2013年10月福建省肿瘤医院收治，且经手术病理证实的61例鳃裂囊肿患者的超声二维结构及彩色多普勒资料进行回顾性分析。结果根据鳃裂囊肿来源及手术所见部位，将其分为三型：I型（4例）、I 型（51例）、I I型（6例）。超声诊断结果与术后病理比较，总符合率为77%（47/61）。其中I型、I 型、I I型鳃裂囊肿符合率分别为50%（2/4）、88.24%（45/51）、0%（0/6）。超声图像特点为：圆形或类圆形的单房囊性肿块55例(100%)，其中47例（85.5%）囊壁呈薄壁，回声增强且清晰光整，8例（14.5%）囊壁增厚毛糙；55例中21例(38.2%)为囊内无回声者，20例（36.3%）囊内可探及稀疏或密集点状回声，14例(25.5%)囊内可探及到密集的粗短状或点状强回声；55例囊肿中46例（83.6%)囊肿后方回声增强，9例（16.4%）囊肿后方回声无增强；55例鳃裂囊肿内彩色多普勒血流图均未显示明显的血流信号，仅5例于囊肿边缘显示少量血流信号。结论彩色多普勒超声检查对诊断鳃裂囊肿具有较高的临床应用价值。
목적：탐토새렬낭종적이유급채색다보륵초성특정。방법대2009년1월～2013년10월복건성종류의원수치，차경수술병리증실적61례새렬낭종환자적초성이유결구급채색다보륵자료진행회고성분석。결과근거새렬낭종래원급수술소견부위，장기분위삼형：I형（4례）、I 형（51례）、I I형（6례）。초성진단결과여술후병리비교，총부합솔위77%（47/61）。기중I형、I 형、I I형새렬낭종부합솔분별위50%（2/4）、88.24%（45/51）、0%（0/6）。초성도상특점위：원형혹류원형적단방낭성종괴55례(100%)，기중47례（85.5%）낭벽정박벽，회성증강차청석광정，8례（14.5%）낭벽증후모조；55례중21례(38.2%)위낭내무회성자，20례（36.3%）낭내가탐급희소혹밀집점상회성，14례(25.5%)낭내가탐급도밀집적조단상혹점상강회성；55례낭종중46례（83.6%)낭종후방회성증강，9례（16.4%）낭종후방회성무증강；55례새렬낭종내채색다보륵혈류도균미현시명현적혈류신호，부5례우낭종변연현시소량혈류신호。결론채색다보륵초성검사대진단새렬낭종구유교고적림상응용개치。
Objective To investigate the characteristics of two dimension and color Doppler of branchial cyst. Methods The results of two dimension and color Doppler of Sixty-one patients with pathologically proven branchial cyst were retrospectively analyzed who admitted in the hospital from January 2009 to October 2013. Results The branchial cysts were divided into three types according to the origins and surgical sites:TypeⅠ(4 cases), TypeⅡ(51 cases), and TypeⅢ(6 cases). The results of ultrasound with pathology were compared, the general coincidence rate was 77%(47/61). The coincidence rates of typesⅠ,Ⅱ, andⅢwere 50%(2/4), 88.24%(45/51), 0%(0/6). The ultrasonic characteristics were as follows:ellipse or round single-cyst masses in 55 cases (100%), thin-wall cysts with strong and clear echo in 47 cases (85.5%), and thicken and coarse wall in 8 cases (14.5%). Of 55 cases, 21 (38.2%) showed anecho, 20 (36.3%) showed sparse or dense points, and 14 (25.5%) showed dense short line or point-like strong echo. There were echo enhancement posterior in 46 of 55 cases (83.6%), and no echo enhancement posterior in 9 of 55 cysts (16.4%). There was no obvious blood signal in all the 55 cases, and only little blood signal was found on the edge in 5 cases. Conclusion Color Doppler is of great clinical value in the diagnosis of branchial cyst.