彩色多普勒超声在诊断鳃裂囊肿中的应用

目的：分析鳃裂囊肿的彩色多普勒超声声像学特点，为临床诊断与鉴别诊断提供依据。方法回顾分析经手术及病理证实为鳃裂囊肿10例病例的彩色多普勒超声声像图表现，并与手术、病理结果对照分析。结果10例鳃裂囊肿彩色多普勒超声表现为囊性包块9例，不均匀实性低回声结节1例，超声诊断与手术病理结果符合率为70％。结论彩色多普勒超声诊断鳃裂囊肿较准确、可靠，可明确包块内部回声及其与周围组织的关系，是临床诊断与鉴别诊断以及手术切除的重要辅助检查，对瘘管的走行方向也有重要提示作用，可为保证手术切除范围的精准提供依据。

Application of Doppler color sonography in the diagnosis of branchial cleft cysts

Objective To analyze the features of Doppler color sonography in the diagnosis of branchial cleft cysts and to pro -vide evidence for clinical and differential diagnoses .Methods Retrospective analysis was made on Doppler color sonography images of 10 cases of branchial cleft cysts confirmed by surgery and pathology , then, they were compared with the surgical/pathological results ob-tained.Results In the 10 cases of branchial cleft cysts diagnosed by Doppler color sonography , 9 cases were cystic masses and 1 case was uneven hypoecho solid nodule , with a coincidence rate of 70%between Doppler color sonography diagnosis and surgical /pathologi-cal results obtained .Conclusion In the diagnosis of branchial cleft cysts , Doppler color sonography was an accurate and reliable meth-od, which could tell the relationship between echoes and surrounding tissues .It was an important accessory method for clinical and dif-ferential diagnoses , and surgical excision as well .Besides, it could offer an important indication on the location of branchial fistula , therefore it could provide good evidence for accurate surgical performance .