本文選題：超聲檢查　切入點(diǎn)：超聲造影　出處：《中國介入影像與治療學(xué)》2015年06期

【摘要】：目的對比研究常規(guī)超聲與CEUS對盆腔結(jié)核的診斷價(jià)值。方法回顧性對比分析42例臨床病理診斷的盆腔結(jié)核患者的常規(guī)超聲與CEUS與圖像。結(jié)果常規(guī)超聲診斷符合率42.86%(18/42),誤診率57.14%(24/42),CEUS診斷符合率66.67%(28/42),誤診率為33.33%(14/42),應(yīng)用CEUS診斷盆腔結(jié)核的符合率高于常規(guī)超聲(χ2=4.806,P=0.028)。常規(guī)超聲顯示15例表現(xiàn)為輸卵管增大呈臘腸樣改變,27例表現(xiàn)為以實(shí)性為主的混合回聲病灶;病灶最大徑(45.31±15.30)mm,CEUS顯示15例表現(xiàn)為輸卵管不均勻高增強(qiáng),27例表現(xiàn)為以囊性為主的混合回聲病灶,病灶中有多處較大的造影劑缺損區(qū);病灶最大徑(47.31±17.30)mm,與常規(guī)超聲測得的病灶最大徑差異無統(tǒng)計(jì)學(xué)意義(Z=0.289,P=0.773)。病灶實(shí)性部分造影劑上升時(shí)間平均為(10.24±2.55)s,子宮肌層增強(qiáng)時(shí)間為(14.52±3.11)s,差異有統(tǒng)計(jì)學(xué)意義(Z=3.990,P0.001);病灶造影劑從峰值降至一半時(shí)間為(50.53±25.71)s,子宮肌層造影劑從峰值降至一半時(shí)間為(49.28±15.64)s,二者差異無統(tǒng)計(jì)學(xué)意義(Z=0.131,P=0.896)。結(jié)論 CEUS診斷盆腔結(jié)核的準(zhǔn)確率高于常規(guī)超聲。CEUS能客觀的反映盆腔結(jié)核的血流灌注,提高盆腔結(jié)核的早期診斷率。
[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 鹵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 鹵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 鹵2.55 s and 14.52 鹵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 鹵25.71s, and the time of myometrium contrast medium decreased from peak to half was 49.28 鹵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.
【作者單位】： 第三軍醫(yī)大學(xué)附屬新橋醫(yī)院婦產(chǎn)科;
【分類號】：R445.1;R527.4

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