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高频超声波与微气泡相结合,用于手术前的淋巴图绘制,用于印氨酸绿色淋巴图学中非线性图案的淋巴
ShuFang Yuan1, LiPing Chen2, LanJing Wu2
1Department of Ultrasound Imaging, Peking University Shenzhen Hospital, Shenzhen, China. ysfsue@aliyun.com.
European radiology
|January 24, 2026
概括
高频超声波 (HFUS) 和对比度增强超声波 (CEUS) 提供了一个可靠的替代方案,用于淋巴瘤患者的淋巴图谱,当印ocyanine绿色 (ICG) 淋巴学是不成功的. 这种综合方法显著改善了淋巴血管的检测,增强了淋巴静脉解瘤 (LVA) 的成功率.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 淋巴 edem 管理 淋巴 edem 管理
背景情况:
- 淋巴静脉解剖 (LVA) 是对淋巴的关键手术治疗方法.
- 准确的淋巴血管识别对于LVA成功至关重要.
- 绿色氨酸 (ICG) 淋巴图是标准的,但在可视化淋巴血管方面存在局限性.
研究的目的:
- 评估高频超声波 (HFUS) 和对比度增强超声波 (CEUS) 作为淋巴图谱的替代方案.
- 评估联合HFUS和CEUS在ICG淋巴学失败时的疗效.
- 为了比较基于超声波的淋巴图谱与ICG淋巴图谱的准确性和临床结果.
主要方法:
- 结合HFUS和CEUS进行了淋巴映射在不清楚ICG淋巴学结果的患者.
- 淋巴血管尺寸 (内部/外部直径,深度) 被测量.
- 超声波绘图的准确性与手术发现相验证,手术后肢体测量与手术前基线进行了比较.
主要成果:
- 在42.53%的患者中,ICG淋巴镜无法可视化淋巴血管.
- 结合HFUS和CEUS,在识别淋巴血管方面实现了94.5%的准确性.
- 手术后观察到四肢周长和体积的显著减少 (p < 0.001).
结论:
- 高频超声波与CEUS相结合是一种可靠的手术前淋巴图谱方法,当ICG淋巴图无法实现时.
- 这种超声波方法改善了淋巴血管检测和ICG阴性病例的LVA成功率.
- 这项研究证实了HFUS+CEUS在淋巴瘤手术规划方面的临床相关性.
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