Tsai F Y, Goldstein J C, Parhad I M
Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1977 Sep-Oct;84(5):ORL840-50.
An audible bruit may represent a clue to the vascular nature of the lesion. Angiography is definitely indicated in the presence of pulsatile cervical masses with or without an associated bruit, and should be more widely utilized in the future for evaluation of cervical masses. In addition to the nature of the mass, angiography may also be of value in outlining the extent of the mass and its relationship to major vessels. Magnification and subtraction angiographic techniques with their improved detail may play an important role in clarifying the etiology of cervical masses, and hence facilitate the plan of therapy. If reasonable uncertainty as to the clinical diagnosis exists, angiography should be considered a diagnostic aid.
可闻及的血管杂音可能提示病变的血管性质。对于有或无相关血管杂音的搏动性颈部肿块,血管造影检查绝对必要,且未来应更广泛地用于评估颈部肿块。除了肿块的性质外,血管造影在勾勒肿块范围及其与主要血管的关系方面也可能有价值。放大和减影血管造影技术能提供更清晰的细节,在明确颈部肿块的病因方面可能发挥重要作用,从而有助于制定治疗方案。如果对临床诊断存在合理的不确定性,血管造影应被视为一种辅助诊断方法。