CAJ | 학술논문

目的探讨超声造影在子宫宫腔病变诊断中的应用价值.方法回顾性分析经手术病理或临床证实的子宫宫腔病变54例,分析其常规彩超和超声造影表现,比较常规彩超和超声造影对各种宫腔病变的诊断符合率.结果子宫内膜癌及宫腔内血块超声造影检查诊断符合率明显增高,并有统计学显著差异(P<0.05);子宫黏膜下肌瘤、宫腔息肉、宫腔内残留诊断符合率提高,但无统计学显著差异(P>0.05).结论超声造影能显示子宫宫腔病变微小血管的血流灌注,结合常规彩超能进一步提高子宫宫腔病变的诊断和鉴别诊断.
목적 탐토초성조영재자궁궁강병변진단중적응용개치.방법 회고성분석경수술병리혹림상증실적자궁궁강병변54례,분석기상규채초화초성조영표현,비교상규채초화초성조영대각충궁강병변적진단부합솔.결과 자궁내막암급궁강내혈괴초성조영검사진단부합솔명현증고,병유통계학현저차이(P<0.05);자궁점막하기류、궁강식육、궁강내잔류진단부합솔제고,단무통계학현저차이(P>0.05).결론 초성조영능현시자궁궁강병변미소혈관적혈류관주,결합상규채초능진일보제고자궁궁강병변적진단화감별진단.
Objective To evaluate the value of contrast-enhanced ultrasonography(CEUS)in intrauterine disease.Methods Fifty-four patients with intrauterine disease were examined by routine and CEUS,which were confirmed by pathology or clinic.Compared the routine ultrasound results with those of CEUS,the definite diagnosis rate was evaluated.Results Diagnosis rate of endometrial cancer and intrauterine blood was significantly improved and had statistic difference from CEUS examination,compared with routine examination(P<0.05).The diagnostic rate of uterus myoma,endometrial plyps and intrauterine residual was also improved but without statistic difference(P>0.05).Conclusions CEUS can detect the intrauterine diseases microvascular perfusion.Combined with the routine ultrasound,CEUS may improve the diagnosis of and differential dignosis of intrauterine disease.