CAJ | 학술논문

目的：探讨超声造影诊断卵巢肿瘤及卵巢蒂扭转的声像学特征及临床应用价值。方法采用对比剂Sonovue及低机械指数成像技术对32例怀疑卵巢肿瘤及卵巢蒂扭转的患者进行超声造影检查，分析其造影特点并与手术病理结果对照。结果32例患者术后3例卵巢复活成功，其中常规彩色多普勒超声检查2例肿块周边及内部探及少量血流信号，超声造影检查5例病灶内见对比剂充填，表现为增强早期呈不均匀低增强，增强水平低于子宫肌层，增强晚期呈明显低增强。彩色多普勒超声与超声造影两种检查对诊断卵巢肿瘤蒂扭转之间具有一定程度的一致性（κ＝0.529， P＝0.248）。结论卵巢肿瘤及卵巢蒂扭转超声造影增强模式具有特征性，可显示内部组织缺血坏死的改变，较彩色多普勒对内部有无血供更敏感，为诊断提供更准确的信息，增加诊断信心。
목적：탐토초성조영진단란소종류급란소체뉴전적성상학특정급림상응용개치。방법채용대비제Sonovue급저궤계지수성상기술대32례부의란소종류급란소체뉴전적환자진행초성조영검사，분석기조영특점병여수술병리결과대조。결과32례환자술후3례란소복활성공，기중상규채색다보륵초성검사2례종괴주변급내부탐급소량혈류신호，초성조영검사5례병조내견대비제충전，표현위증강조기정불균균저증강，증강수평저우자궁기층，증강만기정명현저증강。채색다보륵초성여초성조영량충검사대진단란소종류체뉴전지간구유일정정도적일치성（κ＝0.529， P＝0.248）。결론란소종류급란소체뉴전초성조영증강모식구유특정성，가현시내부조직결혈배사적개변，교채색다보륵대내부유무혈공경민감，위진단제공경준학적신식，증가진단신심。
Objective To observe the appearance and characteristics of ovarian and ovarian tumors torsion on contrast-enhanced ultrasound(CEUS) and to analyze its diagnostic value. Methods ovarian and ovarian tumors torsion proven pathologically in 30 cases were studied and analyzed with real-time harmonic ultrasonographic imaging under a low mechanical index. Results 32 cases of patients with postoperative 3 cases of ovarian resurrection success, including conventional color doppler ultrasound 2 cases of peripheral and internal agent and a small amount of blood flow signals, contrast-enhanced ultrasound examination in 5 cases lesions in contrast filling, enhancement level lower and that of myometrium and strengthen the terminal was significantly enhanced. The two methods showed a certain degree concordance (κ=0.529, P=0.248). Conclusions The CEUS allows a more complete display of the vascular patterns in ovarian and ovarian tumors torsion. Contrast-enhanced ultrasonography with color doppler more sensitive to mass inside presence of blood supply, to provide more accurate information for diagnosis, to increase diagnostic confidence.