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目的探讨彩色多普勒超声在小儿浅表组织血管瘤和血管畸形鉴别诊断中的价值。方法回顾性分析34例经高频彩色多普勒超声诊断及手术病理证实为浅表血管瘤及血管畸形的病例,将超声诊断结果与病理结果相对比,总结其超声特点。结果超声诊断的检出率为100%。经超声诊断血管瘤11例,静脉畸形13例,动脉畸形10例。除2例静脉畸形误诊为动脉畸形外,其余分型均与病理分型相符。超声诊断与病理诊断符合率为94.1%(32/34)。结论高频超声对小儿浅表组织血管瘤及血管畸形的鉴别诊断具有重要的临床价值,可作为首选的影像学检查方法。
Objective To investigate the value of color Doppler ultrasonography in the differential diagnosis of superficial hemangiomas and vascular malformations in children. Methods A retrospective analysis of 34 cases of high-frequency color Doppler ultrasound diagnosis and surgical pathology confirmed superficial hemangiomas and vascular malformations cases, the ultrasonic diagnosis results and pathological results compared to summarize the ultrasound features. Results The detection rate of ultrasonic diagnosis was 100%. Ultrasound diagnosis of hemangiomas in 11 cases, 13 cases of venous malformations, 10 cases of arterial malformations. In addition to 2 cases of venous malformation misdiagnosed as arterial malformations, the other subtypes were consistent with the pathological type. The coincidence rate of ultrasonic diagnosis and pathological diagnosis was 94.1% (32/34). Conclusion High-frequency ultrasonography has important clinical value in the differential diagnosis of superficial hemangiomas and vascular malformations in children, and can be used as the first imaging method.