首都医科大学学报 ›› 2011, Vol. 32 ›› Issue (2): 293-296.doi: 10.3969/j.issn.1006-7795.2011.02.026

• 临床研究 • 上一篇    下一篇

子宫肌瘤与子宫腺肌病超声造影鉴别诊断的价值

李国政1，苑敏2*，吴子芳3，刘增强1，刘丽艳1   

  1. 1. 吉林油田总医院江北分院功能科； 2. 吉林油田总医院江北分院医务科； 3. 吉林油田总医院江北分院器械科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-04-21 发布日期:2011-04-21
  • 通讯作者: 苑敏

Value of Contrast-enhanced Ultrasonography in Distinguishing Hysteromyoma from Adenomyosis

LI Guo-zheng1, YUAN Min2*, WU Zi-fang3, LIU Zeng-qiang1, LIU Li-yan1   

  1. 1. Department of Function, Jiangbei Branch Hospital of Jilin Oilfield General Hospital; 2. Department of Medical, Jiangbei Branch Hospital of Jilin Oilfield General Hospital; 3. Department of Medical Instruments, Jiangbei Branch Hospital of Jilin Oilfield General Hospital
  • Received:1900-01-01 Revised:1900-01-01 Online:2011-04-21 Published:2011-04-21
  • Contact: YUAN Min

PDF

252

被引次数

37

摘要：

目的 探讨子宫肌瘤与子宫腺肌病超声造影（contrast-enhanced ultrasonography，CEUS）鉴别诊断的价值。
方法 收集有病理诊断的103例子宫肌瘤及76例子宫腺肌病患者的超声造影检查资料，进行回顾性分析。
结果 子宫肌瘤超声造影表现：环状增强型者89例（占86.4%），同步增强型者14例（占13.6%），向心填充型者0例（占0%）。子宫腺肌病超声造影表现：环状增强型者0例（占0%），同步增强型者47例（占82.5%），向心填充型者10例（占17.5%）。子宫肌瘤患者多为“环状增强型”(Z=-10.502，P<0.01)。子宫腺肌病患者多为“同步增强型”（Z=-8.562，P<0.01）和“向心填充型”（Z=-4.377，P<0.01）。
结论 子宫肌瘤与子宫腺肌病超声造影增强模式明显不同，超声造影是其有效影像学鉴别手段，其作为一种新的无创性检查方法，具有重要的临床价值。

关键词: 超声检查, 造影剂, 子宫肌瘤, 子宫腺肌病

Abstract:

Objective To investigate the value of contrast-enhanced ultrasonography(CEUS) in distinguishing hysteromyoma(HM) from adenomyosis(AM).
Methods A total of 103 cases with hysteromyoma and 76 cases with adenomyosis were retrospectively studied with CEUS.
Results The enhancement patterns of hysteromyoma on CEUS were peripheral pseudocapsule type in 89 cases(86.4%), synchronous type in 14 cases(13.6%), and no case had centripetal type enhancement. The enhancement patterns of adenomyosis on CEUS were synchronous type in 47 cases(82.5%), centripetal type in 10 cases(17.5%) and no case with peripheral pseudocapsule enhancement. The most of hysteromyoma are peripheral pseudocapsule type enhancement(Z=-10.502, P<0.01). While in adenomyosis, synchromous and centripetal enhancement(respectively Z=-8.562, P<0.01 and Z=-4.377, P<0.01) were the common type.
Conclusion The enhancement pattern of hysteromyoma on CEUS was significantly different from adenomyosis. As a new non-invasive method, contrast-enhanced ultrasonography has important clinical value on the differential diagnosis of hysteromyoma and adenomyosis.

Key words: ultrasonography, contrast medium, hysteromyoma, adenomyosis

中图分类号: 

网站版权所有 © 《首都医科大学学报》编辑部
地址：北京市丰台区右安门外西头条10号　邮编：100069
电话：010-83911346　 Email：xuebao@ccmu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发　技术支持：support@magtech.com.cn
京ICP备10013688号-1