Klinik für Kinder- und Jugendmedizin im St. Josef-Hospital, Ruhr-Universität Bochum, Bochum, Germany.
Pediatr Radiol. 2011 Nov;41(11):1421-8. doi: 10.1007/s00247-011-2213-1. Epub 2011 Sep 9.
Subglottic haemangioma causes progressive and life-threatening stridor, typically manifesting at age 2-3 months. Standard diagnosis is by laryngoscopy. Larynx sonography is rarely used but allows assessment of the presence and extension of a mass that impinges on the subglottic airway. The additional use of colour Doppler enables demonstration of the vascular nature of such masses.
To compare US and endoscopic findings in infants with subglottic haemangioma and to evaluate accuracy of US and colour Doppler imaging in this diagnosis.
We report eight infants with subglottic haemangioma seen in our institution over the last decade. They presented with laryngeal stridor and were all investigated with both US and endoscopy. Six infants underwent colour Doppler sonography.
US and endoscopic findings showed excellent anatomical correlation in lateral subglottic haemangioma. Colour Doppler imaging was deemed helpful in four infants.
Larynx sonography with complementary colour Doppler imaging was non-invasive and helpful in the diagnosis of subglottic haemangioma.
声门下血管瘤可导致进行性和危及生命的喘鸣，通常在 2-3 个月龄时表现出来。标准诊断方法是喉镜检查。喉超声检查很少使用，但可以评估对声门下气道产生影响的肿块的存在和范围。彩色多普勒的额外使用可显示此类肿块的血管性质。
比较超声和内镜检查在声门下血管瘤婴儿中的发现，并评估超声和彩色多普勒成像在该诊断中的准确性。
我们报告了过去十年中在我们机构中发现的 8 例声门下血管瘤婴儿。他们表现为喉喘鸣，并均接受了超声和内镜检查。6 例婴儿接受了彩色多普勒超声检查。
超声和内镜检查结果在侧位声门下血管瘤中显示出极好的解剖相关性。彩色多普勒成像在 4 例婴儿中被认为有帮助。
带有补充彩色多普勒成像的喉超声检查是非侵入性的，有助于声门下血管瘤的诊断。
