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永存胎儿血管性眼部的彩色多普勒成像。

Color Doppler imaging of eyes with persistent fetal vasculature.

机构信息

Department of Ophthalmology, Tel Aviv medical center, 6 Weizmann Street, Tel Aviv, 64239, Israel.

出版信息

Pediatr Radiol. 2012 Oct;42(10):1229-34. doi: 10.1007/s00247-012-2432-0. Epub 2012 Jun 16.

DOI:10.1007/s00247-012-2432-0
PMID:22706801
Abstract

BACKGROUND

Eyes with persistent fetal vasculature (PFV) may be mistaken for retinoblastoma and provide a diagnostic challenge.

OBJECTIVE

This study aimed to evaluate the role of color Doppler imaging (CDI) in children with persistent fetal vasculature.

MATERIALS AND METHODS

Eyes with a diagnosis of PFV were evaluated by CDI.

RESULTS

Twenty eyes of 17 children were included. All had a confirmed diagnosis of PFV based on one or more of the following: clinical findings on funduscopy, characteristic findings on imaging modalities (ophthalmic gray-scale US, CT and/or MRI), typical findings observed intraoperatively, and histopathological analysis (after enucleation in one case). Blood flow within the PFV was demonstrated in 19 eyes in this series.

CONCLUSION

CDI is a noninvasive diagnostic tool that may add useful information on the presence of blood flow within the PFV and may substantiate the diagnosis of PFV in cases of uncertainty.

摘要

背景

持续性胎儿血管(PFV)的眼睛可能被误诊为视网膜母细胞瘤,这给诊断带来了挑战。

目的

本研究旨在评估彩色多普勒成像(CDI)在持续性胎儿血管患儿中的作用。

材料与方法

对诊断为 PFV 的眼睛进行 CDI 评估。

结果

本研究纳入了 17 名儿童的 20 只眼。所有患儿均基于以下一项或多项检查确诊为 PFV:眼底镜检查的临床发现、影像学检查(眼部灰阶超声、CT 和/或 MRI)的特征性发现、术中的典型发现,以及组织病理学分析(1 例眼球摘除后)。本研究中,PFV 内血流在 19 只眼中得到了证实。

结论

CDI 是一种非侵入性的诊断工具,它可以提供关于 PFV 内血流存在的有用信息,并在存在疑虑的情况下支持 PFV 的诊断。

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本文引用的文献

1
[Differential diagnosis of retinoblastoma: a retrospective study of 486 cases].视网膜母细胞瘤的鉴别诊断:486例回顾性研究
J Fr Ophtalmol. 2008 Feb;31(2):165-72. doi: 10.1016/s0181-5512(08)70349-8.
2
Bilateral persistent hyperplastic primary vitreous.双侧永存原始玻璃体增生症
Australas Radiol. 2005 Feb;49(1):72-4. doi: 10.1111/j.1440-1673.2005.01402.x.
3
Intraorbital and periorbital tumors in children--value of ultrasound and color Doppler imaging in the differential diagnosis.儿童眶内及眶周肿瘤——超声及彩色多普勒成像在鉴别诊断中的价值
Am J Ophthalmol. 2004 Jun;137(6):1065-72. doi: 10.1016/j.ajo.2004.01.050.
4
Unilateral persistent hyperplastic primary vitreous: course and outcome.单侧持续性增生性原始玻璃体:病程与转归
J AAPOS. 2002 Apr;6(2):92-9. doi: 10.1067/mpa.2002.121324.
5
[Color Doppler imaging of persistent heperplastic primary vitreous].[持续性增生性原发性玻璃体的彩色多普勒成像]
Yan Ke Xue Bao. 1997 Jun;13(2):56-8.
6
High-frequency ultrasonography findings in persistent hyperplastic primary vitreous.永存原始玻璃体增生症的高频超声检查结果
J AAPOS. 2000 Aug;4(4):217-24. doi: 10.1067/mpa.2000.105306.
7
[Color Doppler ultrasonography in evaluation of intraocular lesions].[彩色多普勒超声检查在眼内病变评估中的应用]
Zhonghua Yan Ke Za Zhi. 1997 Mar;33(2):88-91.
8
Surgical results of persistent hyperplastic primary vitreous.持续性增生性原发性玻璃体的手术结果。
Ophthalmology. 1999 Feb;106(2):280-4. doi: 10.1016/S0161-6420(99)90066-0.
9
Coats' disease and persistent hyperplastic primary vitreous. Role of MR imaging and CT.科茨病与永存原始玻璃体增生症。磁共振成像和计算机断层扫描的作用。
Radiol Clin North Am. 1998 Nov;36(6):1119-31, x. doi: 10.1016/s0033-8389(05)70235-9.
10
Color Doppler imaging diagnosis of intra-ocular tumor.彩色多普勒成像对眼内肿瘤的诊断
Chin Med J (Engl). 1997 Sep;110(9):664-6.