CAJ | 학술논문

目的探讨超声造影及时间-强度曲线对睾丸附睾肿块的诊断价值.方法采用超声造影剂SonoVue和时间-强度曲线定量分析26个正常睾丸(对照组)和42个睾丸和附睾肿块(病例组),并与手术病理对照.结果 42个睾丸附睾肿块中23个(54.76％)为恶性,19个(45.24％)为良性.恶性肿块的主要增强方式为均匀增强、快进快出(8.7％),均匀增强、快进慢出(65.2％),不均匀增强、快进慢出(6.1％).良性肿块的主要增强方式为:不均匀增强、快进慢出(10.5％),均匀增强、慢进慢出(10.5％),不均匀增强、慢进慢出(36.9％),无增强(42.1％).时间-强度曲线峰值强度、达峰时间及曲线下面积在恶性组、良性组及正常组同差异均有统计学意义(P＜0.05).结论超声造影和时间-强度曲线对睾丸附睾良恶性肿块有明显鉴别诊断价值.
목적 탐토초성조영급시간-강도곡선대고환부고종괴적진단개치.방법 채용초성조영 제SonoVue화시간-강도곡선정량분석26개정상고환(대조조)화42개고환화부고종괴(병례조),병여수술병리대조.결과 42개고환부고종괴중23개(54.76％)위악성,19개(45.24％)위량성.악성종괴적주요증강방식위균균증강、쾌진쾌출(8.7％),균균증강、쾌진만출(65.2％),불균균증강、쾌진만출(6.1％).량성종괴적주요증강방식위:불균균증강、쾌진만출(10.5％),균균증강、만진만출(10.5％),불균균증강、만진만출(36.9％),무증강(42.1％).시간-강도곡선봉치강도、체봉시간급곡선하면적재악성조、량성조급정상조동차이균유통계학의의(P＜0.05).결론 초성조영화시간-강도곡선대고환부고량악성종괴유명현감별진단개치.
Objective To investigate the differential value of contrast-enhanced ultrasonography (CEUS) and time-intensity curves(TIC) in diagnosing testicular and epididymal mass lesions.Methods CEUS via intravenous bolus injection of SonoVue and TIC were performed for quantitative analysis of testicular and epididymal mass lesions.Forty-one patients with 42 testicular and epididymal mass lesions and 26 normal testicles were examined with CUES,the perfusion progress were recorded dynamically,which findings were compared with surgery.Results Twenty-three (54.76％) malignant masses displayed enhanced pattern as evenly enhanced,fast-in and fast-out (8.7％),evenly enhanced,fast-in and slow-out (65.2 ％ ),unevenly enhanced,fast-in and slow-out (26.1％ ).Ninteen (45.24 ％ ) benign masses revealed enhanced pattern as unevenly enhanced,fast-in and slow-out ( 10.5 ％),evenly enhanced,slow-in and slowout ( 10.5 ％ ),unevenly enhanced,slow-in and slow-out ( 36.9 ％ ),without enhancement ( 42.1％ ).There was statistical difference of peak intensity,time to peak and areas among malignant group,benign group and normal group ( P ＜ 0.05).Conclusions CEUS combined with TIC could provide differential diagnostic value for testicular and epididymal mass lesions.