CAJ | 학술논문

目的：探讨超声彩色多普勒血流成像对脾动脉瘤（SAA）的诊断价值。方法回顾性分析13例脾动脉瘤患者的超声表现及彩色多普勒血流成像（CDFI）图像特征，所有患者均经手术及病理证实。结果13例 SAA 患者中，单发11例，多发2例，2例患者2个瘤体，共15个 SAA；超声误诊2个，准确诊断13个，诊断准确率为86.7%（13/15）。SAA 的超声特征性表现为：脾动脉管径局限性扩张，瘤体内充满彩色血流信号，与脾动脉相通。结论超声能方便、准确、无创地显示 SAA 及瘤体内的血流动力学改变，适合临床对 SAA 进行早期诊断。
목적：탐토초성채색다보륵혈류성상대비동맥류（SAA）적진단개치。방법회고성분석13례비동맥류환자적초성표현급채색다보륵혈류성상（CDFI）도상특정，소유환자균경수술급병리증실。결과13례 SAA 환자중，단발11례，다발2례，2례환자2개류체，공15개 SAA；초성오진2개，준학진단13개，진단준학솔위86.7%（13/15）。SAA 적초성특정성표현위：비동맥관경국한성확장，류체내충만채색혈류신호，여비동맥상통。결론초성능방편、준학、무창지현시 SAA 급류체내적혈류동역학개변，괄합림상대 SAA 진행조기진단。
Objective To study the value of color Doppler ultrasound in diagnosing splenic artery aneurysms(SAA). Methods Thir-teen patients with surgically and pathologically proved splenic artery aneurysm underwent preoperative ultrasonography examination. Results Thir-teen cases with 15 aneurysm:11 cases were solitary,and 2 cases were multiple,2 cases had 2 aneurysms . Two cases was misdiagnosed by ultra-sound. 13 of the 15 aneurysms were diagnosed by CDFI,and the diagnosis accuracy was 86. 7%(13 / 15). The feature appearances on CDFI in SAA were local expansion on the splenic artery,and colorful flow shown inside the aneurysm,which communicated with the splenic artery. Con-clusion Ultrasonography can reveal reliably the SAA and the changes of blood flow. CDFI is suitable for clinical preliminary diagnosing and dy-namic monitoring of the SAA.