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[超声检查在血管瘤和血管畸形诊断检查中的地位]

[The place of sonography in the diagnostic work-up of haemangiomas and vascular malformations].

作者信息

Peer S

机构信息

Universitätsklinik für Radiodiagnostik, Medizinische Universität Innsbruck, Osterreich.

出版信息

Handchir Mikrochir Plast Chir. 2009 Apr;41(2):70-7. doi: 10.1055/s-2008-1038474. Epub 2008 Sep 19.

DOI:10.1055/s-2008-1038474
PMID:18803151
Abstract

While in one of three children a vascular birthmark may be a transient finding, in one of hundred children a persisting vascular soft tissue malformation is seen, which warrants further diagnostic work-up. An exact diagnosis is crucial for assessment of the prognosis and future evolution of the lesion as well as for efficient treatment. In experienced hands, sonography can be used as a first line modality since, together with color Doppler and spectral wave analysis, it allows for a simple but exact differentiation of these lesions in many cases. In addition sonography is well tolerated especially in children. Besides its diagnostic impact, sonography is also well suited for the guidance of interventional treatment, such as percutaneous sclerotherapy. In this Original article, the strengths and weaknesses of sonography are discussed in detail.

摘要

虽然在三个孩子中可能有一个血管胎记是一过性表现,但在一百个孩子中会有一个出现持续性血管软组织畸形,这就需要进一步的诊断检查。准确的诊断对于评估病变的预后和未来发展以及有效治疗至关重要。在经验丰富的医生手中,超声检查可作为一线检查方法,因为它结合彩色多普勒和频谱分析,在许多情况下能对这些病变进行简单而准确的鉴别。此外,超声检查耐受性良好,尤其适用于儿童。除了其诊断作用外,超声检查也非常适合介入治疗的引导,如经皮硬化治疗。在这篇原创文章中,将详细讨论超声检查的优缺点。

相似文献

1
[The place of sonography in the diagnostic work-up of haemangiomas and vascular malformations].[超声检查在血管瘤和血管畸形诊断检查中的地位]
Handchir Mikrochir Plast Chir. 2009 Apr;41(2):70-7. doi: 10.1055/s-2008-1038474. Epub 2008 Sep 19.
2
Soft-tissue hemangiomas in infants and children: diagnosis using Doppler sonography.婴幼儿软组织血管瘤:使用多普勒超声进行诊断
AJR Am J Roentgenol. 1998 Jul;171(1):247-52. doi: 10.2214/ajr.171.1.9648798.
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Soft-tissue vascular anomalies: utility of US for diagnosis.软组织血管异常:超声诊断的应用价值
Radiology. 2000 Mar;214(3):747-54. doi: 10.1148/radiology.214.3.r00mr21747.
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[Treatment of haemangiomas and vascular malformations with the neodymium-YAG laser--strategy and results in over 2000 cases].[钕-钇铝石榴石激光治疗血管瘤和血管畸形——2000余例的治疗策略与结果]
Handchir Mikrochir Plast Chir. 2009 Apr;41(2):83-7. doi: 10.1055/s-2008-1038775. Epub 2008 Nov 14.
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[Imaging of peripheral arteriovenous malformations using color-coded Doppler sonography].[应用彩色编码多普勒超声对周围动静脉畸形的成像]
Ultraschall Med. 1991 Apr;12(2):87-90. doi: 10.1055/s-2007-1003976.
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[Value of high-resolution ultrasonography in differential diagnosis of cervical cystic lesions].[高分辨率超声在宫颈囊性病变鉴别诊断中的价值]
Zhonghua Zhong Liu Za Zhi. 2006 Dec;28(12):928-31.
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Echo-enhancing sonography of a large-vessel hemangioma of the neck.颈部大血管血管瘤的超声造影检查
J Clin Ultrasound. 1999 Oct;27(8):465-8. doi: 10.1002/(sici)1097-0096(199910)27:8<465::aid-jcu8>3.0.co;2-h.
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Sonographically guided percutaneous sclerosis using 1% polidocanol in the treatment of vascular malformations.超声引导下使用1%聚多卡醇经皮硬化治疗血管畸形。
J Clin Ultrasound. 2002 Sep;30(7):416-23. doi: 10.1002/jcu.10091.
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Sonography of the neck: current potentials and limitations.颈部超声检查:当前的潜力与局限性
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Characterization of maxillofacial soft tissue vascular anomalies by ultrasound and color Doppler imaging: an adjuvant to computed tomography and magnetic resonance imaging.超声和彩色多普勒成像对颌面软组织血管异常的特征描述:计算机断层扫描和磁共振成像的辅助手段
J Oral Maxillofac Surg. 2003 Jan;61(1):19-31. doi: 10.1053/joms.2003.50003.

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