Zhang Haorong,Hou Yanqing,Xu Yunfeng,et al.Diagnostic value of color Doppler ultrasonography in children with branchial cleft deformity[J].Journal of Clinical Pediatric Surgery,,20():464-468.[doi:10.12260/lcxewkzz.2021.05.013]
Diagnostic value of color Doppler ultrasonography in children with branchial cleft deformity
- Keywords:
- Branchial Region/AB; Ultrasonography; Doppler; Color; Diagnosis; Child
- CLC:
- R445.1;R729
- Abstract:
- Objective To explore the diagnostic value of color Doppler ultrasound in branchial cleft deformity in children.Methods From January 2016 to December 2020,retrospective analysis was performed for 75 children with suspected branchial cleft deformity undergoing ultrasound examination and surgery.The surgical outcomes were compared and the ultrasonic findings summarized.Results The onset age of symptoms was (4.17±2.99) years and the age of ultrasonic examination (5.43±3.26) years.Branchial cleft deformity (n=70) and cervical hamartoma (n=5) were confirmed postoperatively.There were 10 cases (10/70,14.3%) of the first branchial cleft deformity,including cyst (n=1),fistula (n=7) and cyst & fistula (n=2);7 cases (7/70,10%) of the second branchial cleft deformity,including cyst (n=2) and fistula (n=5).All of them were consistent with the postoperative diagnosis.Among 53 cases (53/70,75.7%) of pyriform fossa fistula,35 cases were consistent with the postoperative diagnosis.Among 18 misdiagnosed cases,the misdiagnoses were thyroiditis (n=9),parathyroid sinus (n=5),parathyroid unicameral cyst (n=2),lymphangioma (n=1) and lateral thyroid cyst (n=1).And ultrasonic misdiagnoses included diagnosed hamartoma as the second branchial fistula (n=5) and pyriform sinus fistula (n=18).The branchial cleft cysts displayed irregular or oval shape,anechoic or hypoechoic,no blood flow signal;branchial cleft fistulas showed strip-shaped low echo or irregular mixed echo extending to the superficial or deep.The manifestations of pyriform sinus fistula were diverse,showing unilateral thyroiditis and extending backward or upward in the shape of "L" or the surrounding burst like "J" or high echo with gas,it hinted at pyriform sinus fistula.Conclusion Ultrasound can accurately depict the sonographic features and shape of branchial cleft deformity in children and distinguishes it from other related diseases according to its typical locations and sonographic features.It is conducive to the clinical diagnosis and treatment of branchial cleft deformity.
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Memo
收稿日期:2020-12-21。
基金项目:上海交通大学"交大之星"计划医工交叉研究基金项目（编号：YG2021QN114）
通讯作者:童易如,Email:2277@shchildren.com.cn