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Objective:To summarize the clinical manifestations and color Doppler ultrasonography of benign lymphoepithelial disease (BLL) in lacrimal gland, so as to improve the diagnostic accuracy of lacrimal BLL.Methods:Clinical manifestations and color Doppler flow imaging (CDFI) features of lacrimal BLL in 16 patients (2 males and 14 females, with 31 lesions) who visited the Second Hospital of Hebei Medical University from November 2014 to August 2019 were retrospectively analyzed.Results:The performance for lesions in patients with duration less than 3 months was scattered in irregular low echo, lesion blood flow signals within the rich (Adler Ⅱ level), pathologic examination results showed more lymphocytes were seen in the lacrimal matrix, and the myoepithelium of the lacrimal duct grew to form the epithelium-myocutaneous island. The ultrasonic feasures in patients with course of 3-6 months were in multiple categories such as circular low echo, "honeycomb" change, CDFI showed lesions with a lot of blood flow signals (Adler Ⅲ level), the pathological examination results indicated that there were a large number of lymphocytes and epithelial-musculocutaneous islands in the lacrimal matrix, and the lymphocytes were significantly increased compared with patients with the course of disease less than 3 months. The ultrasound results in patients with a course of more than 6 months showed lesions in multiple categories such as circular low echo, and large low echo, greater than 3 mm in diameter, CDFI showed lesions within the same large amounts of blood flow signals (Adler Ⅲ level), the pathological examination results were consistent with the course of 3 to 6 months. One patient had positive tuberculin test and 11 had higher IgG4 than normal.The number of lymphocytes increased with the prolongation of disease course.Conclusions:With the expert knowledge of color Doppler ultrasonographic characteristics of lacrimal gland BLL and with the serum IgG4 level helps to improve the accuracy of ultrasonic diagnosis.
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Objective To investigate the hemodynamics of ocular vessels of the bilateral eyes in patients with unilateral non-arteritic anterior ischemic optic neuropathy(NAION) . Methods Clinical data of 28 patients with unilateral NAION were collected . The peak systolic velocity ( PSV ) ,end diastolic velocity (EDV) ,resistance index (RI) of ophthalmic artery (OA) ,central retinal artery (CRA) ,nasal short posterior ciliary arteries ( NPCA ) and temporal posterior ciliary arteries ( TPCA ) were comparatively analyzed by color Doppler ultrasonography . Results The hemodynamic parameters of OA in NAION were not significantly different from those in the contralateral eyes ( P ＞ 0 .05 ).PSV of CRA was lower in NAION than that in contralateral eyes ,as well as EDV ( P ＜ 0 .05 ) ,while the RI of CRA was not significantly different between two groups ( P ＞0 .05).PSV of NPCA in NAION was lower than that in the contralateral eyes ( P ＜ 0 .05) ,while EDV and RI of NPCA were not quite different from those in contralateral eyes ( P ＞0 .05).The hemodynamic parameters of TPCA in NAION were not significantly different from those in the contralateral eyes ( P ＞0 .05).Conclusions Color Doppler ultrasonography can non-invasively detect and monitor the hemodynamic changes of ocular vessels in NAION ,which will be of great help in illuminating the pathogenesis of NAION and providing groundbreaking evidence for the diagnosis and prognosis of NAION .
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Objective To determine whether pyloric measurements with ultrasound, that muscle thickness and channel of pyloric, correlated with weight and age in patients with hypertrophic pyloric stenosis (HPS). Methods A retrospective analysis was conducted on 111 cases diagnosed with HPS by operation from 2008 to 2012. Pearson correlation and linear regression analyses were used to determine if there were sta?tistically signiifcant associations between these combinations of factors:age and pyloric muscle thickness, weight and pyloric muscle thickness, age and pyloric length, and weight and pyloric length. Results Patients’mean age was 39.1 d (8-92 days). Their mean weight was 4.3 kg (2.2-7.9 kg). Mean pyloric muscle thickness was 4.8 mm (2-4.6 mm), and mean pyloric length was 17.5 mm (12-23.5 mm). Pearson correlation coefifcient analysis showed a signiifcant correlation between age and muscle thickness (r=0.6, P<0.001) as well as weight and muscle thickness (r=0.486, P<0.001). No signiifcant correlation was found be?tween pyloric length and age or weight. Linear regression analysis demonstrated similar results. Conclusions In patients with HPS, pyloric muscle thickness was directly related to age and weight. Smaller and younger infants with suspected diagnosis of HPS should be followed up even though the minimum diagnostic criterion for muscle thickness or length was not found on ultrasound.
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Objective To obtain the comprehensive information of the normal peroneal nerve by high resolution ultrasonography.Methods The cross-sectional area was measured by observing the traveling law of peroneal nerve as well as its ultrasonographic features,choosing the polyline level of popliteal and the peroneal nerve around the fibular neck as measurement point.Results There was no significance on statistics in differences of the above-mentioned cross-sectional area.The overall mean of its peroneal nerve were (0.139 ± 0.043)cm2 and (0.114 ± 0.032)cm2 resectively; and its peroneal nerve among men seems a little bit wider than that among women,the old wider than the youth.It was positively correlated with height and weight(r =0.569,0.625,respectively,both P ＜0.05).Conclusions The high-resolution ultrasound can show the form and shape of the peroneal nerve,thus providing diagnostic criteria in quantity by measuring its normal cross-sectional area.
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Objective To discuss the application value of contrast-enhanced uhrasound(CEUS)in diagnosis of hepatic artery thrombosis(HAT)after liver transplantation.Methods Four hundred and seventy-five liver transplantation patients were performed routine exam by color Doppler uhrasound,11patients suspected of HAT were examined by CEUS.Results All cases were confirmed bv DSA or CTA.Of them,6 cases were thrombotic by CEUS,and 3 cases out of the 6 cases HAT were founded infarction.The other 5 cases were nonthrombotic,but the diameter of hepatic artery showed narrow,3 Datients were accompanied by severe fatty liver. Conclusions CEUS is equally effective as DSA or CTA in diagnosing HAT after liver transplantation.
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Objective To evaluate the methods and predictive values of obstetric conjugata measured by ultrasound.Methods A total of 200 women at 37～42 week's gestation,delivering a singleton infant and having an ultrasound examination within three days before delivery were studied.The obstetric conjugata,fetal biparietal diameter(BPD),fetal clavicula were measured by ultrasound,and compared with the obstetric conjugata measured in operation,newborn BPD,and newborn clavicula.Results The parameters such as obstetric conjugata,BPD and clavicula had no significant difference between ultrasonic measurement and actual measurement.When the obstetric conjugata and BPD difference