Value of conventional ultrasonography combined with cervical compression in the diagnosis of orbital venous malformation
10.3760/cma.j.cn131148-20221026-00723
- VernacularTitle:常规超声联合颈部加压诊断眼眶静脉性血管畸形的价值
- Author:
Xiaochu DANG
1
;
Rui MA
;
Yueyue LI
;
Yingying CHEN
;
Yutong MA
;
Yun ZHANG
;
Xuan ZHANG
;
Xuejuan WANG
;
Yuqian MIAO
;
Xiuzhu MA
;
Xinji YANG
;
Faqin LYU
Author Information
1. 解放军总医院第三医学中心超声科，北京 100039
- Keywords:
Ultrasonography, Doppler;
Orbital;
Venous malformation;
Cervical compression
- From:
Chinese Journal of Ultrasonography
2023;32(5):444-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of conventional ultrasonography combined with cervical compression in the diagnosis of orbital venous malformation (OVM).Methods:A total of 43 patients with suspected OVM were admitted in sequentially from January 2019 to July 2022 in the Third Medical Center of PLA General Hospital. All patients were examined by ultrasonography combined with cervical compression and demonstrated by operation or digital subtraction angiography (DSA). The conventional ultrasound features of OVM were summarized, and the value of conventional ultrasonography combined with cervical compression in the diagnosis of OVM was discussed.Results:The features of the conventional ultrasound combined with cervical compression for diagnosis of OVM were as follows: the interior of lesion was mainly tubular structure, and the compression test was positive. After cervical compression, the lesion enlarged and the inner diameter of the internal tubular structure widened. Doppler flow imaging showed that the interior of lesion was mainly venous blood flow. Compared with the results of postoperative pathology or DSA, the sensitivity, specificity, accuracy and positive predictive value of ultrasonography combined with cervical compression were 0.952, 1.000, 95.3% and 100%, respectively. The results of Fisher exact diagnosis showed that there was no significant difference between ultrasonography and operation or DSA of OVM( P>0.05). Conclusions:Conventional ultrasound combined with cervical compression can be used as an effective method for the diagnosis of OVM.
