静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较

doi:10.3969/j.issn.1006-7795.2017.04.025

首都医科大学学报 ›› 2017, Vol. 38 ›› Issue (4): 620-625.doi: 10.3969/j.issn.1006-7795.2017.04.025

静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较

任美杰, 杨敬春, 杜岚, 吴静

首都医科大学宣武医院超声诊断科, 北京 100053

收稿日期:2016-11-05 出版日期:2017-07-21 发布日期:2017-07-20
通讯作者: 吴静 E-mail:wj4628@163.com

Comparison of intravenous contrast-enhanced ultrasound and transvaginal color Doppler sonography in diagnosis

Ren Meijie, Yang Jingchun, Du Lan, Wu Jing

Department of Ultrasound, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2016-11-05 Online:2017-07-21 Published:2017-07-20

摘要/Abstract

摘要： 目的通过与经阴道彩色多普勒超声（transvaginal color doppler sonography，TVCD）诊断结果进行对比，探讨静脉声学造影（intravenous contrast-enhanced ultrasound，CEUS）对子宫内膜息肉（endometrium polyps，EPs）的诊断价值。方法 85例可疑EPs病例以病灶直径10 mm为界分为2组，先后行TVCD、CEUS检查；病理证实后，将两结果进行比较。结果 2组造影诊断EPs敏感度分别为82.8%、94.1%，特异度分别为90.9%、72.7%，诊断符合率分别为85.0%、88.9%，明显高于TVCD，差异有统计学意义（P<0.05）；CEUS检查中56例与病理结果相符，53例灌注方式呈离心型，3例呈整体型；时间-强度曲线分析2组病灶间各参数差异无统计学意义（P>0.05）。结论 CEUS是临床检查EPs的良好手段。

关键词: 经阴道彩色多普勒超声, 静脉声学造影, 子宫内膜息肉

Abstract: Objective To evaluate the value of intravenous contrast-enhanced ultrasound in diagnosis of endometrial polyps (EPs) by comparison with transvaginal color Doppler sonography (TCVD). Methods Eighty five cases were studied by Transvaginal color doppler sonography and intravenous contrast-enhanced ultrasound (CEUS), respectively, confirmed by pathology and comparing the two results. Results In the two groups of CEUS, the sensitivity was 82.8%, 94.1%, specificity was 90.9%, 72.7%, the diagnostic coincidence rate was 85.0%, 88.9%, all of these were higher than those of TVCD group, there was significant differences between two methods(P<0.05). 56 cases conformed to the pathological diagnosis, 53 cases showed the enhancement pattern was centrifugal enhancement, 3 cases was overall enhancement, intensity appeared variously. The difference of start time, peak time, and clear time between EPs and endometria were no significant difference between two groups each other(P＞0.05).Conclusion CEUS is valuable in diagnosis EPs.

Key words: transvaginal color Doppler sonography (TVCD), intravenous contrast-enhanced ultrasound(CEUS), endometrial polyps (EPs)

中图分类号:

R445

任美杰, 杨敬春, 杜岚, 吴静. 静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较[J]. 首都医科大学学报, 2017, 38(4): 620-625.

Ren Meijie, Yang Jingchun, Du Lan, Wu Jing. Comparison of intravenous contrast-enhanced ultrasound and transvaginal color Doppler sonography in diagnosis[J]. Journal of Capital Medical University, 2017, 38(4): 620-625.

参考文献

[1] Gambadauro P, Martínez-Maestre M Á, Schneider J, et al. Endometrial polyp or neoplasia? A case-control study in women with polyps at ultrasound[J]. Climacteric, 2015, 18(3): 399-404.
[2] 张颖, 张丹, 李燕东.子宫内膜息肉样病变的超声与病理对比分析[J]. 首都医科大学学报,2014, 35 (2):159-163.
[3] 徐子宁,张竹君,王灵燕等.经阴道彩色多普勒超声诊断子宫内膜息肉[J].中华医学超声杂志:电子版,2006,3(5): 318-319.
[4] Lieng M, Qvigstad E, Dahl G.F. Flow differences between endometrial polyps and cancer: a prospective study using intravenous contrast-enhanced transvaginal color flow doppler and three-dimensional power doppler ultrasound[J]. Ultrasound Obstet Gynecol, 2008,32(7): 935-940.
[5] Van Den Bosch T, Van schoubroeck D, Luts J, et al. Effect of gel-instillation sonography on doppler ultrasound findings in endometrial polyps[J]. Ultrasound Obstet Gynecol,2011,38(3):355-359.
[6] 张丹,李燕东,马彦,等.子宫内膜增生过长彩色多普勒.超声检查及病理分析[J]. 中华医学超声杂志: 电子版,2007,4(6): 368-370.
[7] 白小英,李芬霞,王燕,等.绝经前与绝经后子宫内膜癌病人的人群特点及病理特征研究[J].解放军医药杂志,2016,28(10):46-49.
[8] 孙淑红, 王树鹤,孙艳斌,等.绝经前后子宫内膜息肉发病机制差异的研究现状[J].解放军医药杂志,2015,27(3):103-107.
[9] 郑爱文, 陈雅卿,朱笕青,等.血清多肽谱检测对子宫内膜癌早期诊断价值[J]中华肿瘤防治杂志,2015,22(11):875-879.
[10] 高艳霞,杨波,董晓红,等.c-kit及其配体干细胞因子在子宫内膜息肉中的表达及意义[J].临床误诊误治,2016,29(8):100-102.
[11] 陈力, 李爱斌,牛婷.围绝经期妇女子宫黏膜下肌瘤并异位妊娠误诊原因分析[J].临床误诊误治,2014,27(7):66-67.

静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较

Comparison of intravenous contrast-enhanced ultrasound and transvaginal color Doppler sonography in diagnosis

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	张颖, 张丹, 李燕东. 子宫内膜息肉样病变的超声与病理对比分析[J]. 首都医科大学学报, 2014, 35(2): 159-163.
[2]	彭雪冰, 夏恩兰. 子宫内膜息肉中雌激素受体和孕激素受体的表达特点及意义[J]. 首都医科大学学报, 2006, 27(1): 117-119.
[3]	王伟娟, 高婉丽, 冯力民, 张华, 刘小春. 绝经期妇女子宫内膜息肉的病因探讨[J]. 首都医科大学学报, 2006, 27(1): 120-122.
[4]	彭雪冰;夏恩兰;段华. 宫腔镜治疗子宫内膜息肉的临床分析[J]. 首都医科大学学报, 2004, 25(4): 522-524.