CAJ | 학술논문

目的：探讨彩色多普勒超声对软组织海绵状血管瘤的诊断价值。方法对45例经病理证实为软组织海绵状血管瘤患者的彩色多普勒超声图像进行回顾性分析。结果45例共54处软组织海绵状血管瘤超声声像图均表现为混合性回声团块,边界不清晰,内部回声不均匀,可见多条迂曲扩张的管状结构,4处病变内可见血栓所致的低回声,10处可见钙化所致的强回声伴声影。彩色多普勒超声显示36处病变内未见明显血流信号,探头加压放松后管状结构内可见血流信号,18处病变内可见低速静脉或动脉血流信号,探头加压放松后血流信号均较前增多。结论软组织海绵状血管瘤具有典型的超声声像图特征,彩色多普勒超声对软组织海绵状血管瘤具有重要的诊断价值,可作为临床诊断软组织海绵状血管瘤的首选影像学方法。
목적：탐토채색다보륵초성대연조직해면상혈관류적진단개치。방법대45례경병리증실위연조직해면상혈관류환자적채색다보륵초성도상진행회고성분석。결과45례공54처연조직해면상혈관류초성성상도균표현위혼합성회성단괴,변계불청석,내부회성불균균,가견다조우곡확장적관상결구,4처병변내가견혈전소치적저회성,10처가견개화소치적강회성반성영。채색다보륵초성현시36처병변내미견명현혈류신호,탐두가압방송후관상결구내가견혈류신호,18처병변내가견저속정맥혹동맥혈류신호,탐두가압방송후혈류신호균교전증다。결론연조직해면상혈관류구유전형적초성성상도특정,채색다보륵초성대연조직해면상혈관류구유중요적진단개치,가작위림상진단연조직해면상혈관류적수선영상학방법。
Objective To investigate the diagnostic value of ultrasound for cavernous hemangioma in soft tissue.Methods A retrospective analysis was made on the color Doppler ultrasound images of 45 patients with pathologically diagnosis of cavernous hemangioma in soft tissue.Results All images from ultrasound for cavernous hemangioma in 45 cases as 54 soft tissue were mixed echo mass with unclear boundary, and their internal echo was non uniform with multiple tubular structure of circuity expansion. 4 of the lesions cases contained low echo induced by thrombus, and other 10 cases contained strong echo with sound shadow induced by calcification. Color Doppler ultrasound showed that 36 lesions cases had no obvious blood flow signal, while there was blood flow signal in tubular structure after probe compression and relaxation. 18 lesions cases had slow blood flow signal in vein or artery, and the signal was increased after probe compression and relaxation. Conclusion Cavernous hemangioma in soft tissue contained typical ultrasonic characteristics, and color Doppler ultrasound can provide important diagnostic value for cavernous hemangioma in soft tissue. This method can be used as the preferred measure in clinical diagnosis of cavernous hemangioma in soft tissue.