三维超声造影在附件区包块中应用的可行性

周春艳; 王军燕; 汪龙霞; 姬宏娟

doi:10.3969/j.issn.2095-5227.2013.01.015

三维超声造影在附件区包块中应用的可行性

Application of 3-dimensional contrast-enhanced ultrasonography in adnexal masses

摘要

摘要: 目的探讨经阴道三维超声造影（transvaginal three-dimensional ultrasonography，3D-CEUS）在附件区包块检查中应用的可行性。方法对38例附件区肿块先后进行经阴道二维超声造影（transvaginal two-dimensional ultrasonography，2D-CEUS）和3D-CEUS检查。重建3D-CEUS图像后，根据清晰度将图像质量评为高质量、一般、低质量，分析其对临床诊断的影响。结果 38例附件区包块的3D-CEUS图像中高质量者30例（78.9%），质量一般者6例（15.8%），低质量者2例（5.3%）；与2D-CEUS相比，36例（94.7%）能增加诊断信息。结论 3D-CEUS图像能清晰显示多数附件区包块的血管特征，可作为2DCEUS的有益补充，用于附件区包块的鉴别诊断。

Abstract: Objective To study the application of transvaginal 3-dimensional contrast-enhanced ultrasonography (3D-CEUS)in adnexal masses. Methods Adnexal masses in 38 women were detected by 2D-CEUS and 3D-CEUS, respectively. Effect of 2DCEUS and 3D-CEUS images on diagnosis and clinical outcome of adnexal masses was assessed according to their clarity. Results The 3D-CEUS images were excellent on 30(78.9%) adnexal masses, good on 6(15.8%) adnexal masses, and poor on 2(5.3%) adnexal masses. The 3D-CEUS images could increase more information for the diagnosis of 36(94.7%) adnexal masses than the 2D-CEUS images. Conclusion The 3D-CEUS images show more vascular features of adnexal masses than the 2D-CEUS images, and can thus be used for the differential diagnosis of adnexal masses as a supplementary tool of 2D-CEUS.

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