超声造影在绝经后子宫肌瘤诊断中的价值研究  

Value of Contrast-enhanced Ultrasound in Diagnosis of Hysteromyoma of Post-menopause Patients

作　　者：刘珊珊[1] 蔡少雨[1] 李锐锋[1] 韩咏峰 区美珍 李玉球[1] 

机构地区：[1]佛山市高明区人民医院超声科,广东佛山528500

出　　处：《湖北科技学院学报（医学版）》2016年第6期478-479,共2页Journal of Hubei University of Science and Technology(Medical Sciences)

基　　金：广东省佛山市卫计局2015年医学科研课题(2015394)

摘　　要：目的探讨绝经后子宫肌瘤常规超声及超声造影特点。方法选取在我院术后病理证实为子宫肌瘤且行子宫肌瘤超声造影的患者76例,将其分为观察组和对照组各38例,观察组患者为绝经后的子宫肌瘤患者,对照组为绝经前的子宫肌瘤患者。所有患者均进行常规超声检查及超声造影,比较两组常规超声、造影扫查资料,同时与术后病理结果进行对比。结果观察组患者子宫肌瘤收缩期最大血流速度(PSV)与舒张期最大血流速度(EDV)较对照组明显下降(P<0.05),但其动脉血流阻力指数(RI)及收缩期峰值流速/舒张末期流速(S/D)与对照组比较无明显差异(P>0.05)。观察组常规超声对绝经后子宫肌瘤的检出率仅为73.68%,较对照组(81.58%)明显降低,进行超声造影后,可将其准确检出率提高至94.74%。结论超声造影可有效提高子宫肌瘤的准确检出率。Objective To explore the characteristic images of traditional ultrasound and contrast enhanced-ultrasound in diagnosis of hysteromyoma of post-menopause patients. Methods Image data from 76 cases diagnosed as myoma of uterus,from Jun 2013 to Jun 2014,were divided into two groups,post-menopause patients in observation group and pre-menopause patients in control group,38 cases in each group. The traditional ultrasound data and contrast enhanced-ultrasound data were analyzed and compared with the pathological results. Results The peak systolic velocity（ PSD） and end diastolic velocity（ EDV） were declined significantly（ P〈0. 05） compared with the control group,without any alteration of arterial blood resistance index（ RI） and peak systolic velocity / end diastolic velocity（ S / D）. The accuracy rate of tradition ultrasound for diagnosis of hysteromyoma was 73. 68%,lower than that of control group,while it could be increased to 94. 74% by contrast enhanced-ultrasound. Conclusion Contrast enhanced-ultrasound may increase the diagnosis accuracy rate ofhysteromyoma.

关 键 词：子宫肌瘤 绝经 超声造影 

分 类 号：R445[医药卫生—影像医学与核医学]