Objective To explore the value of ultrasoriography in diagnosis and follow -up of infanlile hepatic hemar:gioer:dothelioma(IHE). Methods Combined wiik CT, MRI. Pathology and follow-up results, ultrasonic manifestations of 15 eases of IHE were analyzed. Results In all 15 eases,ultrason.ography showed 9 of them were mono-hypoechoie masses with abundant blood flow, and 4 of 9 cases were combined with calcification. Another 6 cases were multiple masses, 2 of 6 cases showed multiple hypoechoic masses with abundant blood flow, but without calcification, 4 of 6 cases showed diffused nodules. All 15 cases were verified by CT and MR], In all 15 cases, 1 case undertook surgical removal, 8 cases received hormone therapy and 6 cases were untreated. By ultrasound follow-up.the masses in 13 cases were shrinked.the masses in 2 cases were disappeared. Conclusion Compared with other intrahepatic space-occupying lesions, ultrasonic manifestations of 1HE have certain characteristic. U itrasonography has a great clinical value in diagnosis and treatment follow-ups of IHE.%目的 探讨超声在肝脏婴儿型血管内皮瘤诊断和随访中的价值.方法 结合CT、MRI、病理及随访结果分析15 例肝脏婴儿型血管内皮瘤的超声表现.结果 15 例患儿,超声表现为肝内单发不均匀偏低回声为主团块9 例,血流丰富,其中4 例伴有钙化灶；肝内多发性病变6 例,其中表现为数个团状低回声为主2 例,血流丰富,未见明显钙化,表现为弥漫性结节者4 例.15例均经CT 及MRI 检查证实.15 例中,1 例手术切除,6 例未经治疗,8 例经激素治疗,其中13例超声随访均有不同程度缩小,2 例完全消失.结论 肝脏婴儿型血管内皮瘤的超声表现与其他肝内占位病变相比有一定的特征性,超声在其诊断及治疗随访中有较好的临床价值.
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