常规超声与超声造影诊断盆腔结核对比分析

发布时间：2018-04-06 03:24

本文选题：超声检查　切入点：超声造影　出处：《中国介入影像与治疗学》2015年06期

【摘要】：目的对比研究常规超声与CEUS对盆腔结核的诊断价值。方法回顾性对比分析42例临床病理诊断的盆腔结核患者的常规超声与CEUS与图像。结果常规超声诊断符合率42.86%(18/42),误诊率57.14%(24/42),CEUS诊断符合率66.67%(28/42),误诊率为33.33%(14/42),应用CEUS诊断盆腔结核的符合率高于常规超声(χ2=4.806,P=0.028)。常规超声显示15例表现为输卵管增大呈腊肠样改变,27例表现为以实性为主的混合回声病灶;病灶最大径(45.31±15.30)mm,CEUS显示15例表现为输卵管不均匀高增强,27例表现为以囊性为主的混合回声病灶,病灶中有多处较大的造影剂缺损区;病灶最大径(47.31±17.30)mm,与常规超声测得的病灶最大径差异无统计学意义(Z=0.289,P=0.773)。病灶实性部分造影剂上升时间平均为(10.24±2.55)s,子宫肌层增强时间为(14.52±3.11)s,差异有统计学意义(Z=3.990,P0.001);病灶造影剂从峰值降至一半时间为(50.53±25.71)s,子宫肌层造影剂从峰值降至一半时间为(49.28±15.64)s,二者差异无统计学意义(Z=0.131,P=0.896)。结论 CEUS诊断盆腔结核的准确率高于常规超声。CEUS能客观的反映盆腔结核的血流灌注,提高盆腔结核的早期诊断率。
[Abstract]:Objective to study the diagnostic value of conventional ultrasound and CEUS in pelvic tuberculosis.Methods the conventional ultrasound, CEUS and images of 42 patients with pelvic tuberculosis diagnosed by clinicopathology were retrospectively analyzed.Results the coincidence rate of conventional ultrasound diagnosis was 42.86 / 18 / 42, and the misdiagnosis rate was 57.14 / 24 / 42 / 42.The misdiagnosis rate was 33.333314 / 42 / 42. The coincidence rate of CEUS in diagnosing pelvic tuberculosis was higher than that of conventional ultrasound (蠂 24.806 P0.028).Conventional ultrasound showed that 15 cases showed salpinx enlargement and sausage like changes. 27 cases showed solid mixed echo lesions.The maximum diameter of the lesions was 45.31 卤15.30 mm CEUs in 15 cases, and 27 cases showed cystic mixed echo lesions, and there were many large contrast defect areas in the lesions.The maximum diameter of the lesion was 47.31 卤17.30 mm. There was no significant difference between the maximum diameter of the lesion and that of conventional ultrasound.The mean increase time of solid partial contrast agent and myometrium enhancement time were 10.24 卤2.55 s and 14.52 卤3.11 s, respectively. The difference was statistically significant (P 0.001), the contrast medium decreased from peak value to half time was 50.53 卤25.71s, and the time of myometrium contrast medium decreased from peak to half was 49.28 卤15.64ms.There was no significant difference between the two groups.Conclusion the accuracy of CEUS in the diagnosis of pelvic tuberculosis is higher than that of conventional ultrasound. CEUs can objectively reflect the blood flow perfusion of pelvic tuberculosis and improve the early diagnosis rate of pelvic tuberculosis.
【作者单位】：第三军医大学附属新桥医院妇产科;
【分类号】：R445.1;R527.4

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