子宫肌瘤与子宫腺肌症超声造影强化形式的临床应用

目的：探讨超声造影强化形式在子宫肌瘤与子宫腺肌症鉴别诊断中的临床应用。方法：回顾性分析经手术或病理证实的子宫肌瘤和子宫腺肌症患者70例的超声造影表现,记录造影时病灶的充填方式、与肌层的成像顺序及增强程度等。结果：子宫肌瘤患者50例（72个病灶）,子宫腺肌症患者20例。3 cm以上肌瘤56个,均表现为假包膜先充填,呈周边环状增强,然后肌瘤内部增强,消退时肿瘤中央先消退,包膜增强持续时间较长,与周边正常肌层组织充盈方式显著不同。3 cm以下肌瘤16个,呈环绕型增强8个,树枝型增强2个（混合型增强6个）。20例子宫腺肌症均表现为与子宫肌层同步增强,同步减退,且增强程度低于子宫肌层,呈不均匀增强,可见虫蚀样充盈缺损区。结论：超声造影强化形式对子宫肌瘤和子宫腺肌症的鉴别诊断有重要价值。

Value of contrast-enhanced ultrasound with SonoVue in differentiation between uterine leiomyoma and uterine adenomyosis

Objective:To investigate the value of contrast-enhanced ultrasound(CE-US) with SonoVue in the differentiating between uterus leiomyoma with uterine adenomyosis.Methods:A retrospective analysis of preoperative pelvic CE-US with SonoVue(Bracco,Milano,Italia) was performed in 50 patients with pathologically proven uterine leiomyoma and 20 patients with histopathologically confirmed uterine adenomyosis.All the patients underwent hysterectomy or myomectomy.The echogenicity,enhancement extent,degree,patterns at d...