Sun Xiaowei, Liu Xiaofang, Fang Yuhui, Li Wuxuan, Ma Yun, Liu Yichu
Department of Otolaryngology，Qilu Children's Hospital of Shandong University，Ji'nan，250022，China.
Department of Ultrasound Imaging，Qilu Children's Hospital of Shandong University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Apr;35(4):321-324. doi: 10.13201/j.issn.2096-7993.2021.04.008.
To investigate the value of color Doppler flow imaging（CDFI） in the diagnosis of congenital subglottic hemangioma（CSH） in infants. The data of 18 children with CSH who underwent laryngeal CDFI examination were collected and analyzed retrospectively, and compared with those who underwent laryngeal ultrasound examination at the same time. The shape, size, blood flow characteristics of the tumor and its relationship with airway were observed. Eighteen cases were treated with propranolol orally. CDFI of larynx was reexamined after 1 week, 1 month and 3 months of treatment. CDFI could clearly show the location, shape, size and range of CSH in 18 cases, as well as the relationship with airway and surrounding tissues. CDFI images of CSH showed that the tumor was massive or nodular with abundant or patchy blood flow signals. Hemangioma was found in 6 cases on the right side, 8 cases on the left side, and 4 cases on both sides. CDFI can be used in the diagnosis of subglottic hemangioma. It has advantages in displaying its size, scope and relationship with airway, especially in the later treatment and follow-up.
探讨彩色多普勒血流成像（CDFI）在婴幼儿先天性声门下血管瘤（CSH）诊断中的价值。回顾性收集18例接受喉部CDFI检查的CSH患儿资料并进行分析，同时与同期接受喉部超声检查的患儿进行比较。观察肿瘤的形态、大小、血流特征及其与气道的关系。18例患儿口服普萘洛尔治疗，治疗1周、1个月及3个月后复查喉部CDFI。CDFI能清晰显示18例CSH的位置、形态、大小及范围，以及与气道和周围组织的关系。CSH的CDFI图像显示肿瘤呈团块状或结节状，血流信号丰富或呈片状。右侧发现血管瘤6例，左侧8例，双侧4例。CDFI可用于声门下血管瘤的诊断，在显示其大小、范围及与气道的关系方面具有优势，尤其在后续治疗及随访中。
