CAJ | 학술논문

目的：探讨经阴道三维彩超（3DTVU）联合超声造影（CEUS）在盆腔静脉瘀血综合征（PCS）中的诊断价值。方法对我院2012年7月-2015年1月92例临床疑似 PCS 的患者，经腹腔镜手术证实87例，先行3DTVU，对宫旁、卵巢周围的盆腔静脉进行三维彩色重建，后行 CEUS，采用 CEUS 定量分析技术，测量盆腔静脉的半排时间，并与腹腔镜美兰实验结果对照。结果87例 PCS 患者，3DTVU 诊断符合率82％（76／92），敏感度83％（77／87），特异度60％（3／5）；CEUS 定量分析以半排时间为125s 做为 CUTOFF 值，其诊断符合率88％（81／92），敏感度88％（77／87），特异度80％（4／5）；3DTVU 联合 CEUS 定量分析诊断符合率93％（86／92），敏感度94％（82／87），特异度80％（4／5）。3DTVU 联合 CEUS 较单独应用3DTVU 及 CEUS 均有统计学意义（P ＜0．05）。结论经阴道三维彩超联合超声造影定量技术对盆腔静脉瘀血综合征诊断有较好的诊断价值。
목적：탐토경음도삼유채초（3DTVU）연합초성조영（CEUS）재분강정맥어혈종합정（PCS）중적진단개치。방법대아원2012년7월-2015년1월92례림상의사 PCS 적환자，경복강경수술증실87례，선행3DTVU，대궁방、란소주위적분강정맥진행삼유채색중건，후행 CEUS，채용 CEUS 정량분석기술，측량분강정맥적반배시간，병여복강경미란실험결과대조。결과87례 PCS 환자，3DTVU 진단부합솔82％（76／92），민감도83％（77／87），특이도60％（3／5）；CEUS 정량분석이반배시간위125s 주위 CUTOFF 치，기진단부합솔88％（81／92），민감도88％（77／87），특이도80％（4／5）；3DTVU 연합 CEUS 정량분석진단부합솔93％（86／92），민감도94％（82／87），특이도80％（4／5）。3DTVU 연합 CEUS 교단독응용3DTVU 급 CEUS 균유통계학의의（P ＜0．05）。결론경음도삼유채초연합초성조영정량기술대분강정맥어혈종합정진단유교호적진단개치。
Objective To explore the value of 3 dimentional transvaginal ultrasound(3DTVU)and contrast ultra-sound examination(CEUS)in diagnosis of pelvic venous congestion syndrome(PCS).Methods 3DTVU were examined in 87 cases of PCS which were confirmed by laparoscopy,then CEUS were proformed which were focus on the pelvic vein,recorded the half-reducing time and compared with the laparoscopy.Results Among the 87 cases of PCS,the di-agnostic accordance rate of 3DTVU was 82%(76/92),sensitivity was 83%,specificity was 60%;If we used the half-re-ducing time 125s as the CEUS CUTOFF of quantitative analysis,the diagnostic accordance rate was 88%(81/92),sen-sitivity was 88%,specificity was 80%;The diagnostic accordance rate of 3DTVU & CEUS were 93.1%(82/87),sensi-tivity was 94%,specificity was 80%.There were statistic differences between 3DTVU & CEUS and 3DTVU or CEUS (P <0.05).Conclusion 3DTVU & CEUS have better diagnostic value in diagnosis of PCS.