CAJ | 학술논문

目的探讨经阴道三维超声造影(transvaginal three-dimensional ultrasonography,3D-CEUS)在附件区包块检查中应用的可行性.方法对38例附件区肿块先后进行经阴道二维超声造影(transvaginal two-dimensional ultrasonography,2D-CEUS)和3D-CEUS检查.重建3D-CEUS图像后,根据清晰度将图像质量评为高质量、一般、低质量,分析其对临床诊断的影响.结果38例附件区包块的3D-CEUS图像中高质量者30例(78.9%),质量一般者6例(15.8%),低质量者2例(5.3%);与2D-CEUS相比,36例(94.7%)能增加诊断信息.结论3D-CEUS图像能清晰显示多数附件区包块的血管特征,可作为2D-CEUS的有益补充,用于附件区包块的鉴别诊断.
목적탐토경음도삼유초성조영(transvaginal three-dimensional ultrasonography,3D-CEUS)재부건구포괴검사중응용적가행성.방법대38례부건구종괴선후진행경음도이유초성조영(transvaginal two-dimensional ultrasonography,2D-CEUS)화3D-CEUS검사.중건3D-CEUS도상후,근거청석도장도상질량평위고질량、일반、저질량,분석기대림상진단적영향.결과38례부건구포괴적3D-CEUS도상중고질량자30례(78.9%),질량일반자6례(15.8%),저질량자2례(5.3%);여2D-CEUS상비,36례(94.7%)능증가진단신식.결론3D-CEUS도상능청석현시다수부건구포괴적혈관특정,가작위2D-CEUS적유익보충,용우부건구포괴적감별진단.
Objective To study the application of transvaginal 3-dimensional contrast-enhanced ultrasonography (3D-CEUS)in adnexal masses. Methods Adnexal masses in 38 women were detected by 2D-CEUS and 3D-CEUS, respectively. Effect of 2D-CEUS and 3D-CEUS images on diagnosis and clinical outcome of adnexal masses was assessed according to their clarity. Results The 3D-CEUS images were excellent on 30(78.9%) adnexal masses, good on 6(15.8%) adnexal masses, and poor on 2(5.3%) adnexal masses. The 3D-CEUS images could increase more information for the diagnosis of 36(94.7%) adnexal masses than the 2D-CEUS images. Conclusion The 3D-CEUS images show more vascular features of adnexal masses than the 2D-CEUS images, and can thus be used for the differential diagnosis of adnexal masses as a supplementary tool of 2D-CEUS.