超声造影在膀胱占位性病变诊断中的应用价值  

Value of contrast-enhanced ultrasound in diagnosis of bladder occupied lesions

作　　者：刘启平[1] 陈红燕[1] 朱慧[1] 龚会凌[1] 黄晓宇[1] 熊自秋 LIU Qiping;CHEN Hongyan;ZHU Hui;GONG Huiling;HUANG Xiaoyu;XIONG Ziqiu(Department of Ultrasound,Minhang Hospital,Fudan University,Shanghai 201199,China)

机构地区：[1]复旦大学附属闵行医院超声科,上海201199

出　　处：《肿瘤影像学》2018年第4期285-288,共4页Oncoradiology

基　　金：上海市闵行区自然科学研究课题(2018MHZ024)

摘　　要：目的:探讨超声造影(contrast-enhanced ultrasound,CEUS)在诊断膀胱占位性病变中的临床应用价值。方法:回顾性分析常规超声检查发现的膀胱占位性病变21例共31个病灶,分别行彩色多普勒血流成像(color Doppler flow imaging,CDFI)及CEUS检查,比较两种显像技术对膀胱占位性病变的血流显示差异,并总结CEUS的灌注模式,最后与术后病理学检查结果进行对照分析。结果:21例共31个病灶中,膀胱恶性肿瘤28个、腺性膀胱炎3个。CEUS对膀胱占位性病变的血流显示率为100%,明显高于CDFI(71.0%),差异有统计学意义(P<0.05)。CEUS提示膀胱恶性肿瘤病灶30个、腺性膀胱炎病灶1个,诊断准确率为93.5%。结论:CEUS能提高膀胱占位性病变的血流显示率,诊断膀胱占位性病变良恶性的价值较高。Objective: To investigate the clinical application value of contrast-enhanced ultrasound(CEUS) in the diagnosis of bladder occupied lesions. Methods: A total of 31 bladder occupied lesions in 21 cases found by conventional ultrasound were retrospectively analyzed. All the lesions were examinated by color Doppler flow imaging(CDFI) and CEUS. The difference between the two methods in displaying blood flow of bladder occupied lesions was analyzed, and perfusion pattern of CEUS was compared with the pathological results. Results: There were 28 bladder cancer lesions and 3 glandular cystitis lesions. The blood flow display rate of CEUS in diagnosing bladder occupied lesions was 100%, which was significantly higher than CDFI(71.0%)(P<0.05). There were 30 bladder cancer lesions and 1 glandular cystitis lesion diagnosed by CEUS, with a diagnostic accuracy of 93.5%. Conclusion: CEUS could increase the display rate of blood flow of bladder occupied lesions and it has high clinical application value in differential diagnosis of benign from malignant bladder occupied lesions.

关 键 词：超声造影 造影剂 膀胱肿瘤 

分 类 号：R737.14[医药卫生—肿瘤]