超声造影在膀胱实性占位病变中的应用研究  

The Application of Contrast-enhanced Ultrasound in the Diagnosis of Bladder Occupied Lesions

作　　者：周素芬[1] 尹家保[1] 杨浩[1] 钟静[1] 吕瑾玉[1] 谢满英[1] 安鹏[1] 

机构地区：[1]湖北医药学院附属襄阳医院超声科,湖北襄阳441000

出　　处：《湖北医药学院学报》2013年第2期132-135,94,共5页Journal of Hubei University of Medicine

基　　金：湖北省襄阳市科技基金项目(2011-5)

摘　　要：目的:观察膀胱实性占位病变的超声造影表现,探讨其临床应用价值。方法:对26例拟行手术或行膀胱镜检查的膀胱实性占位病变患者予超声造影及对比脉冲序列成像技术检查,观察实性病变及邻近组织的造影灌注时相特征,并与病理诊断比较。结果:造影诊断膀胱恶性病变21例,病理证实恶性病变20例。造影诊断膀胱恶性病变的敏感性、特异性、准确性分别为100%、83%、86%。95%恶性肿瘤均表现为高增强,90%表现为快进慢出型,5%表现为快进快出型,5%表现为同进同出型。结论:膀胱造影技术为膀胱实性占位病变的诊断及鉴别提供了更为有效的检查手段,具有重要的应用价值。Objective To investigate the characteristics of bladder occupied lesions in contrast-enhanced ultrasound and to explore the clinical value of contrast-enhanced ultrasound.Methods Contrast-enhanced ultrasound and cadence contrast pulse sequencing technology were performed in 26 patients with bladder occupied lesions.The characteristics of occupied lesions and ambient tissues in contrast-enhanced perfusion phase were observed and compared with the pathologicalresults.Results Contrast-enhanced ultrasound demonstrated that 21 cases were bladder malignant lesions,while the pathology showed 20 cases were bladder malignant lesions.The sensitivity,specificity and accuracy of contrast-enhanced ultrasound in bladder malignant lesions were 100%,83% and 86%.The manifestations in 95% malignant lesions were high enhancement,90% were fast wash-in and slow wash-out,5% were fast wash-in and fast wash-out,5% were similar wash-in and similar wash-out.Conclusion The Contrast-enhanced ultrasound plays an important role in diagnosis and identification of bladder occupied lesions.

关 键 词：超声造影 对比脉冲序列成像技术 膀胱实性占位性病变 

分 类 号：R445.1[医药卫生—影像医学与核医学]