患儿,男,11个月。家人发现腹部包块5天后就诊。不发热,无呕吐,不烦躁,大小便正常。查体:腹部膨隆,可扪及一儿头大包块,上抵剑突下,下至耻骨联合上方,质较硬,边界清楚,轻度压痛。 应用LOGIQ—400型彩超仪探查:腹部内见一12.4×7.8cm呈中一强回声包块,形状不规则,边界清晰,内部光点分布不均。肝、脾显示正常。双肾显示大小形态正常,均向后外下方移位。彩色多普勒显示:包块内部及边缘均可见丰富的斑块状血流信号。动脉收缩期峰值流速14.4cm/s,舒张期峰值流速8.19cm/s,阻力指数为0.429。 超声诊断:腹膜后神经母细胞瘤。 手术所见:腹膜后见一呈灰白色瘤体,大小约13×9cm, Children, male, 11 months. The family found abdominal mass 5 days after treatment. No fever, no vomiting, not irritable, normal urine. Examination: bulging abdomen, palpable and a big head mass, on the sword suddenly, down to the top of the pubic symphysis, the quality of hard, clear boundary, mild tenderness. Application LOGIQ-400 color Doppler detector: a 12.4 × 7.8cm in the abdomen was a strong echo mass, irregular shape, the boundary is clear, uneven distribution of internal light spots. Liver, spleen showed normal. Kidneys show normal size and shape, are shifted to the outside after the bottom. Color Doppler display: Massive plaque-like blood flow signals are visible both inside and around the mass. Artery systolic peak flow 14.4cm / s, diastolic peak flow 8.19cm / s, resistance index of 0.429. Ultrasound diagnosis: retroperitoneal neuroblastoma. Surgical findings: See a pale retroperitoneal tumor, the size of about 13 × 9cm,