输卵管卵巢脓肿的超声造影表现  

Contrast-Enhanced Ultrasound Features of Tubo-Ovarian Abscess

作　　者：钟苗 林慧[1] 植才烽 吴曼丽 Zhong Miao;Lin Hui;Zhi Caifeng;Wu Manli(Department of Ultrasound,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院超声科,广州市510630

出　　处：《中国超声医学杂志》2024年第10期1188-1190,共3页Chinese Journal of Ultrasound in Medicine

基　　金：广州市基础与应用基础研究(No.2024A04J4786)。

摘　　要：目的探讨输卵管卵巢脓肿(TOA)的超声造影表现特征。方法回顾性分析11个病理确诊为TOA的超声造影图像。结果TOA二维超声大多表现为多房囊性或多房囊实性病灶,彩色多普勒超声显示病灶内部血流丰富。多数病灶超声造影表现呈“早进早退高增强”的灌注模式。“多房环状增强”的灌注模式为TOA与附件区恶性肿瘤病灶超声造影表现的主要鉴别要点。结论认识TOA的超声造影表现有助于临床医师早期准确诊断。Objective To explore the contrast-enhanced ultrasound(CEUS)features of tubo-ovarian abscess(TOA).Methods The contrast-enhanced ultrasound features of the 11 lesions were retrospectively analyzed.Results The two-dimensional ultrasound typically showed multilocular cystic or multilocular cystic-solid lesions.Color Doppler ultrasound showed rich blood flow within the lesion.Most lesions displayed“early wash-in,early wash-out and high enhancement”perfusion pattern on CEUS.The perfusion pattern of“multilocular ring enhancement”was a key distinguishing feature between TOA and adnexal malignancy on CEUS.Conclusions Understanding the contrast-enhanced ultrasound features of TOA is helpful for the clinicians to early and accurately diagnose TOA.

关 键 词：超声造影 输卵管卵巢脓肿 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.76[医药卫生—诊断学] R711.75[医药卫生—临床医学]