中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2011年
9期
779-782
,共4页
向红%黄蕊%古丽娜尔·沙海%吕永泉
嚮紅%黃蕊%古麗娜爾·沙海%呂永泉
향홍%황예%고려나이·사해%려영천
超声检查%微气泡%子宫附件疾病
超聲檢查%微氣泡%子宮附件疾病
초성검사%미기포%자궁부건질병
Ultrasonography%Microbubbles%Adnexal diseases
目的 探讨三维超声造影诊断附件小肿块的价值。方法 对47枚附件小肿块进行二维及三维超声造影检查，对比分析附件良恶性小肿块二维及三维超声造影的图像表现，所有病例均经手术病理或长期随访证实。结果 良性小肿块40枚，二维超声造影多表现由周边向实质内、分隔或乳头状增强;恶性小肿块7枚，二维超声造影呈现为多中心由实质内向周边增强。良恶性小肿块三维超声造影的包膜血管、分隔及内部增强间差异有统计学意义(P＜0.05)。良性实性小肿块内部血管稀疏平直，囊性小肿块的囊壁可见增强，囊内无增强;恶性小肿块表现为实质内血管分布无序扭曲、密集杂乱，形成血管球，呈显著增强,6枚周边可见粗大的供养血管进入。结论三维超声造影显示复杂血管空间结构具有优势，有望成为一种研究附件良恶性小肿块血管真实构筑的新方法。
目的 探討三維超聲造影診斷附件小腫塊的價值。方法 對47枚附件小腫塊進行二維及三維超聲造影檢查，對比分析附件良噁性小腫塊二維及三維超聲造影的圖像錶現，所有病例均經手術病理或長期隨訪證實。結果 良性小腫塊40枚，二維超聲造影多錶現由週邊嚮實質內、分隔或乳頭狀增彊;噁性小腫塊7枚，二維超聲造影呈現為多中心由實質內嚮週邊增彊。良噁性小腫塊三維超聲造影的包膜血管、分隔及內部增彊間差異有統計學意義(P＜0.05)。良性實性小腫塊內部血管稀疏平直，囊性小腫塊的囊壁可見增彊，囊內無增彊;噁性小腫塊錶現為實質內血管分佈無序扭麯、密集雜亂，形成血管毬，呈顯著增彊,6枚週邊可見粗大的供養血管進入。結論三維超聲造影顯示複雜血管空間結構具有優勢，有望成為一種研究附件良噁性小腫塊血管真實構築的新方法。
목적 탐토삼유초성조영진단부건소종괴적개치。방법 대47매부건소종괴진행이유급삼유초성조영검사，대비분석부건량악성소종괴이유급삼유초성조영적도상표현，소유병례균경수술병리혹장기수방증실。결과 량성소종괴40매，이유초성조영다표현유주변향실질내、분격혹유두상증강;악성소종괴7매，이유초성조영정현위다중심유실질내향주변증강。량악성소종괴삼유초성조영적포막혈관、분격급내부증강간차이유통계학의의(P＜0.05)。량성실성소종괴내부혈관희소평직，낭성소종괴적낭벽가견증강，낭내무증강;악성소종괴표현위실질내혈관분포무서뉴곡、밀집잡란，형성혈관구，정현저증강,6매주변가견조대적공양혈관진입。결론삼유초성조영현시복잡혈관공간결구구유우세，유망성위일충연구부건량악성소종괴혈관진실구축적신방법。
Objective To evaluate the value of three-dimensional contrast-enhanced ultrasonography (3D-CEUS) in diagnosis of small adnexal masses.Methods Forty-three patients with 47 adnexal masses were examined by both two-dimensional contrast-enhanced ultrasound (2D-CEUS) and 3D-CEUS.Sonographic features of adnexal masses with 3D-CEUS were analyzed and compared with 2D-CEUS.All patients with adnexal masses were proved by operational pathology and long-term follow-up results.Results Enhancement from the periphery to the parenchyma, septa or papillae was shown by 2D-CEUS among 40 benign adnexal masses, and multicenter enhancement from parenchyma to the periphery among 7 malignant ones.There were significant differences in blood vessels of envelope and septa, and the enhancement of parenchyma between benign and malignant adnexal masses by 3D-CEUS (P ＜0.05).Straight and sparse blood vessels were seen inside benign solid masses.Enhancement was observed in the wall of cystic masses,but not in intracapsular structures.Dense and distorted vascularity was found inside malignant adnexal masses forming a ball in the parenchyma, which was significantly enhanced.Thick vasa vasorum was also visible in 6 out of 7 malignant ones.Conclusions 3D-CEUS has an advantage in displaying complex spatial vascular structures,and might be a new tool to study real vascular structures in small adnexal masses.
