Naganuma H, Ishida H, Konno K, Hamashima Y, Komatsuda T, Ishida J, Masamune O
First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita, Japan.
Abdom Imaging. 1999 Jan-Feb;24(1):42-6. doi: 10.1007/s002619900438.
Color Doppler sonograms and angiographic findings in 23 hepatic hemangioma patients were compared to clarify how arterioportal shunts influence color Doppler findings of hepatic hemangiomas. The results of our study showed that the presence of arterioportal shunts (six cases) gave rise to large feeding arteries (five cases), multiple intratumoral flows (six cases), and reversal of portal flow within (five cases) or around (four cases) the tumor. These color Doppler findings mimicked hypervascular malignant tumors. Knowledge of such unusual color Doppler findings in hepatic hemangiomas may help in avoiding misinterpretations of color Doppler sonograms.
比较23例肝血管瘤患者的彩色多普勒超声图和血管造影结果，以阐明动门脉分流如何影响肝血管瘤的彩色多普勒表现。我们的研究结果表明，存在动门脉分流（6例）会导致粗大的供血动脉（5例）、瘤内多发血流信号（6例）以及肿瘤内部（5例）或周围（4例）门静脉血流信号逆转。这些彩色多普勒表现类似于高血供恶性肿瘤。了解肝血管瘤这种不寻常的彩色多普勒表现可能有助于避免对彩色多普勒超声图的误判。
