经阴道超声造影诊断附件肿块的价值

目的 探讨经阴道超声造影技术在附件肿块诊断中的应用价值.方法 对30例附件包块(良性21例,恶性9例)患者行二维超声及超声造影匹配成像检查,并与术后病理对照,总结其声像图表现.结果 超声造影增强可区分实质部分与囊性部分;良性肿瘤内微血管不丰富,仅囊壁可见血管;而恶性肿瘤微血管极丰富,且血管形态异常,可见粗大不规则的肿瘤血管.造影剂在部分恶性肿瘤具有特征性的动态增强与消退过程.结论 经阴道超声造影有助于提高对附件包块的良、恶性病变鉴别诊断能力.

The value of transvaginal contrast-enhanced ultrasonography in the diagnosis of adnexal masses

Objective To investigate the value of transvaginal contrast-enhanced ultrasonography (CEUS)in the diagnosis of adnexal masses.Methods Thirty patients with adnexal mass were examined by conventional 2D imaging and contrast tuned imaging(CnTI)technology.The results were compared with pathological results and the CEUS features wet concluded.Results There were 21 cases of benign adnexal masses and 9 cases of ovarian malignancies among 30 patients.The CnTI technology can distinguish between solid and cystic parts in masses.CEUS showed that malignant tumor had the high microvessel density and these vessels were irregular in shape.Partial malignant masses had the characteristic in-out phases in CnTI imagine.Conclusions Transvaginal CEUS is benefit to improve the accuracy of diagnosis of pelvic adnexal masses.