CAJ | 학술논문

目的探讨超声造影在浆膜下子宫肌瘤与卵巢纤维瘤鉴别诊断中的应用价值.方法对58例浆膜下子宫肌瘤及26例卵巢纤维瘤患者进行超声造影检查,观察病变的增强特点,并对其鉴别诊断效能进行评估.结果浆膜下肌瘤在增强早期主要表现为与肌层同步灌注呈均匀等增强；增强晚期呈周边环状高增强,有包膜感.部分浆膜下肌瘤可显示蒂部供血动脉来源于子宫.卵巢纤维瘤主要表现为周边稍高增强,内部始终低增强.结论浆膜下肌瘤与卵巢纤维瘤超声造影表现明显不同,可为两者的鉴别诊断提供有力证据.
목적 탐토초성조영재장막하자궁기류여란소섬유류감별진단중적응용개치.방법 대58례장막하자궁기류급26례란소섬유류환자진행초성조영검사,관찰병변적증강특점,병대기감별진단효능진행평고.결과 장막하기류재증강조기주요표현위여기층동보관주정균균등증강；증강만기정주변배상고증강,유포막감.부분장막하기류가현시체부공혈동맥래원우자궁.란소섬유류주요표현위주변초고증강,내부시종저증강.결론 장막하기류여란소섬유류초성조영표현명현불동,가위량자적감별진단제공유력증거.
Objective To explore the value of contrast-enhanced ultrasound (CEUS) in the differential diagnosis of subserous myoma (SM) and ovarian fibroma.Methods CEUS was performed on 58 patients with SM and 26 patients with ovarian fibroma.The enhancement pattern was observed.The diagnostic performance was evaluated by using diagnostic test.Results SM exhibited homogeneous isoenhancement synchronously with the myometrium in early phase.In the late phase,the pseudocapsule remained hyper-enhancement with obvious membraniform sign.Some myomas showed the feeding artery from uterus.Ovarian fibroma demonstrated hyper-enhancement at the periphery portion and hypoenhancement inside.Conclusions The SM and ovarian myomas showed different enhancement patterns,which may provide us some exact information in the differential diagnosis between the two diseases.