超声诊断儿童鳃裂畸形

目的 探讨儿童鳃裂畸形的超声诊断价值.方法 回顾15例鳃裂畸形患儿的声像图表现,并与手术、病理结果对照分析.结果 6例为鳃裂囊肿,超声表现为囊性团块,内回声均匀;6例为鳃裂囊肿并瘘管形成,超声表现为囊性团块,并有条状低回声与体表或咽内相通;3例为鳃裂窦道形成.全部鳃裂畸形患儿中13例病灶位于颈前,1例位于锁骨下缘前胸壁,1例位于耳前腮腺区.超声诊断与手术病理符合率为86.70%.结论 超声诊断鳃裂畸形较准确、可靠,可明确其位置及毗邻关系,对临床手术有重要意义.

Ultrasonographic diagnosis of branchial cleft anomalies in children

Objective To discuss the diagnostic value of branchial cleft anomalies with ultrasonography. Methods Ultrasonographic features of 15 cases of branchial cleft anomalies were analyzed and compared with surgical-pathology retrospectively. Results Branchial cleft cysts were found as cystic masses with echoes inside in 6 cases, as branchial cleft cyst with fistula communicating skin or pharynx in other 6 cases, whereas sinuses were detected in the rest 3 cases. Thirteen of 15 branchial cleft anomalies were at the front of the neck, one was at the cheek blow the clavicle, the rest one was beyond the ear. The consistant rate of the ultrasonic diagnosis with surgical-pathology was 86.70%. Conclusion Ultrasonic diagnosis of branchial cleft anomalies is accurate and reliable, which is valuable for surgical operation.