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

发布时间：2018-02-01 09:03

本文关键词： 经阴道彩色多普勒超声静脉声学造影子宫内膜息肉　出处：《首都医科大学学报》2017年04期 　论文类型：期刊论文

【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(P0.05);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(P0.05)。结论 CEUS是临床检查EPs的良好手段。
[Abstract]:Objective to compare the diagnostic results of transvaginal color doppler sonographygraphy with transvaginal color Doppler sonography (TVCDD). To investigate intravenous contrast-enhanced ultrasound. CEUS) for endometrial polyp endometrium polyps. Methods 85 patients with suspected EPs were divided into two groups according to the lesion diameter of 10 mm. TVCD-CEUs were performed successively. Results the sensitivity of EPs in the two groups was 82.8%, and the specificity was 72.7%. The diagnostic coincidence rates were 85.0 and 88.9, respectively, which were significantly higher than those of TVCD.The difference was statistically significant (P 0.05). According to the pathological results, 56 cases of CEUS showed centrifugal perfusion pattern in 53 cases, and 3 cases showed integral type. There was no significant difference in parameters between the two groups by time-intensity curve analysis (P 0.05). Conclusion CEUS is a good method for clinical examination of EPs.
【作者单位】：首都医科大学宣武医院超声诊断科;
【分类号】：R445.1;R711.74
【正文快照】： 子宫内膜息肉(endometrium polyps,EPs)是引起子宫异常出血的常见原因之一,其恶变概率与绝经关系显著[1]。经阴道彩色多普勒超声(transvaginal colordoppler sonography,TVCD)是常用检查方法,其诊断价值得到肯定[2],但对于小血管、低速血流敏感性不佳,本研究通过将静脉声学造

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