36例肝内动脉瘤的彩色多普勒超声诊断研究

发布时间：2018-11-07 16:52

【摘要】：目的探讨彩色多普勒超声诊断肝内动脉瘤的应用价值。方法对36例彩色多普勒超声诊断为肝内动脉瘤患者的声像图进行回顾性分析。结果 36例肝内动脉瘤患者中,17例位于肝左叶,13例位于肝右叶,6例肝左右叶均有。单发者27例,2个者6例,3个及以上者3例。最大者28mm×27mm,最小者8mm×7mm。瘤体内有附壁血栓者3例。声像图特征:二维超声表现为肝内类圆形囊状无回声区,边界清晰,壁薄光滑,后方回声加强;彩色多普勒超声显示:红、蓝色单色彩显示者15例,红蓝相间涡流样彩色血流信号21例;脉动冲多普勒测得动脉血流频谱,血流速度12~29cm/s,阻力指数0.60~0.68。结论彩色多普勒超声检查是早期筛查和诊断肝内动脉瘤的首选影像学方法。
[Abstract]:Objective to evaluate the value of color Doppler ultrasonography in the diagnosis of intrahepatic aneurysms. Methods 36 cases of intrahepatic aneurysm diagnosed by color Doppler ultrasound were analyzed retrospectively. Results among 36 patients with intra hepatic aneurysm, 17 were located in Zuo Ye, 13 in right lobe of liver and 6 in left and right lobe of liver. There were 27 single cases, 2 cases 6 cases, 3 cases more than 3 cases. The largest 28mm 脳 27mm, the smallest 8mm 脳 7mm. There were 3 cases with mural thrombus in the tumor. The sonographic features of the sonogram were as follows: in the liver, there was a circular cystic non-echoic area, a clear boundary, a thin and smooth wall, and a strong echo in the rear. Color Doppler ultrasound showed red and blue color in 15 cases, red and blue phase eddy current color flow signal in 21 cases, arterial blood flow spectrum measured by pulsating impulse Doppler, blood flow velocity was 12 ~ 29 cm / s, resistance index was 0.60 ~ 0.68. Conclusion Color Doppler ultrasonography is the first choice for early screening and diagnosis of intrahepatic aneurysms.
【作者单位】：江西省赣州市信丰县人民医院B超室;
【分类号】：R445.1;R735.7

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