论文部分内容阅读
目的观察先天性静脉畸形肢体肥大综合征(KTS)的超声声像图特征,探讨其临床应用价值。方法收集我院资料完整42例KTS患者临床及影像学检查资料,回顾分析患者超声检查结果,总结KTS声像图特征。结果KTS患者血管病变累及下肢41例,上肢2例,临床主要表现为葡萄酒色斑痣、异位浅静脉曲张伴深静脉正常或缺如以及肢体肥大三联征。声像图主要表现为74.5%(38/51)患肢深静脉狭窄、闭塞或缺如,80.4%(41/51)患肢伴有异常走行扩张浅静脉,31.4%(16/51)患肢可探及下肢后外侧静脉畸形;2例伴有体表及深层海绵状血管瘤;45%伴有淋巴系统受累。9例患者确诊后,经超声引导对粗大的曲张静脉行激光治疗,对肢体局限性迂曲成团的细小静脉丛注射硬化剂,疗效较好。结论超声可为KTS诊断及治疗提供影像学依据。
Objective To observe the ultrasonographic features of congenital limb mastoid syndrome (KTS) and discuss its clinical value. Methods The data of 42 cases of KTS in our hospital were collected for clinical and imaging examination. The results of the ultrasound examination were retrospectively analyzed, and the features of KTS sonography were summarized. Results 41 cases of KTS patients with vascular lesions involving the lower extremity in 2 cases, the main clinical manifestations of wine stains, ectopic superficial varicose veins with normal or absence of deep veins and limb hypertrophy triad. The sonography showed 74.5% (38/51) deep venous stenosis, occlusion or absence of limbs, 80.4% (41/51) limbs with abnormal dilatation superficial veins and 31.4% (16/51) limbs Can explore and posterolateral venous malformations; 2 cases with body surface and deep cavernous hemangiomas; 45% accompanied by lymphatic system involvement. Nine patients diagnosed by ultrasound guided thick laser treatment of varicose veins, the limitations of the limbs into small groups of venous plexus injection sclerotherapy, better effect. Conclusion Ultrasound can provide imaging evidence for the diagnosis and treatment of KTS.