目的探讨彩色多普勒超声在脾脏淋巴管瘤诊断中的应用价值。方法回顾性分析6例经手术病理证实的脾脏淋巴管瘤的超声影像资料,注意病变所在部位、大小、形态、边界,重点观察肿物边缘、内部回声及血流信号分布情况。结果 6例患者,2例超声表现为脾脏内不均质高回声团块,边界清、内部略呈蜂窝状改变,病理诊断为海绵状淋巴管瘤。4例超声表现为多分隔不规则囊性包块,囊壁及分隔较粗大,囊壁及分隔可见少量血流信号,病理诊断为囊状淋巴管瘤。结论彩色多普勒超声在脾脏囊状淋巴管瘤诊断中有一定的影像特征,能为临床诊断提供有价值的影像信息。 Objective To investigate the value of color Doppler ultrasound in the diagnosis of lymphangioma of the spleen. Methods Six cases of splenic lymphangioma confirmed by surgery and pathology were retrospectively analyzed. The location, size, shape and boundary of the lesions were observed. The edge, internal echo and distribution of blood flow were observed. Results Six patients, two cases of ultrasound showed splenic heterogeneous hyperechoic mass, border clear, slightly honeycomb-like internal changes, pathological diagnosis of cavernous lymphangioma. 4 cases of ultrasound showed multiple compartments irregular cystic mass, wall and separated more coarser, a small number of visible wall and blood flow signals, pathological diagnosis of cystic lymphangioma. Conclusion Color Doppler ultrasound in the diagnosis of cystic lymphangioma of the spleen has certain image features, which can provide valuable image information for clinical diagnosis.