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超声造影在子宫内膜癌与子宫内膜增生症鉴别诊断中的应用
引用本文:张新玲,黄冬梅,宋倩,毛永江,郑志娟,李玉华,郑荣琴.超声造影在子宫内膜癌与子宫内膜增生症鉴别诊断中的应用[J].中华超声影像学杂志,2009,18(12).
作者姓名:张新玲  黄冬梅  宋倩  毛永江  郑志娟  李玉华  郑荣琴
作者单位:中山大学附属第三医院超声科中山大学超声诊断与介入超声研究所,广州,510630
基金项目:广东省科技计划项目,公益性行业科研专项经费资助 
摘    要:目的 探讨超声造影在子宫内膜癌与内膜增生症鉴别诊断中的价值.方法 对45例子官内膜癌及21例内膜增生症患者进行超声造影检查,24例正常妇女作为对照.结果 正常子官超声造影表现为肌层造影剂灌注早于内膜,消退晚于内膜;而内膜癌表现为病灶区造影剂灌注及消退早于或同步于肌层;内膜增生症则表现为造影剂灌注及消退与正常子宫类似.结论 子宫内膜癌与子宫内膜增生症超声造影表现明显不同,可对两者的鉴别诊断提供帮助.

关 键 词:超声检查  微气泡  子宫内膜肿瘤  子宫内膜增生

The value of contrast-enhanced ultrasound in the differential diagnosis of endometrial carcinoma and endometrial hyperplasia
ZHANG Xin-ling,HUANG Dong-mei,SONG Qian,MAO Yong-jiang,ZHENG Zhi-juan,LI Yu-hua,ZHENG Rong-qin.The value of contrast-enhanced ultrasound in the differential diagnosis of endometrial carcinoma and endometrial hyperplasia[J].Chinese Journal of Ultrasonography,2009,18(12).
Authors:ZHANG Xin-ling  HUANG Dong-mei  SONG Qian  MAO Yong-jiang  ZHENG Zhi-juan  LI Yu-hua  ZHENG Rong-qin
Abstract:Objective To explore the value of contrast-enhanced ultrasound(CEUS)in the differential diagnosis of endometrial carcinoma and endometrial hyperplasia.Methods Forty-five patients with endometrial carcinoma and 21 patients with hyperplasia were studied by CEUS.Twenty-four normal women were enrolled as contrast group.Results In normal uterus, myometrium exhibited earlier enhancement later washout than the endometrium.Similar phenomenon was observed in patients with hyperplasia.In patients with endometrial carcinoma,the lesion showed wash-in and washout earlier, at least not later than the myometrium.Conclusions Endometrial carcinoma and hyperplasia showed different enhancement patterns,which may be helpful for the diagnosis of the two diseases.
Keywords:Ultrasonography  Microbubbles  Endometrial neoplasms  Endometrial hyperplasia
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