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1、超聲造影在附件區(qū)腫塊良惡性鑒別診斷中的應(yīng)用價值吳瑩熊雯陳琴(四川省醫(yī)學(xué)科學(xué)院?四川省人民醫(yī)院超聲科四川成都610072)【摘要】目的:探討超聲造影在附件區(qū)腫塊良惡性鑒別診斷中的應(yīng)用價值。方法：回顧性分析在我院接受超聲造影檢查的附件區(qū)腫塊病例20例，觀察比較附件區(qū)良惡性腫塊不同的造影灌注增強模式和腫瘤血管的形態(tài)學(xué)特征，并評估超聲造影對附件區(qū)腫塊良惡性鑒別診斷的準(zhǔn)確性。結(jié)果：卵巢惡性腫瘤超聲造影多表現(xiàn)為快速高增強，腫瘤內(nèi)血管較豐富走形迂曲不規(guī)則，其內(nèi)均可見粗大扭曲的穿支血管；附件區(qū)良性腫塊多表現(xiàn)為無增強或環(huán)狀低增強，血管稀少細(xì)小平直,多呈緩慢點狀或短條狀低增強。超
2、聲造影對附件區(qū)腫塊良惡性鑒別診斷的敏感度為100%,特異度為92.3%,準(zhǔn)確度為93.8%o結(jié)論：超聲造影顯著提高了附件區(qū)腫塊內(nèi)微小血管的顯示，能夠更準(zhǔn)確地評價附件區(qū)腫塊內(nèi)血管形態(tài)分布及循環(huán)灌注，對附件區(qū)腫塊良惡性鑒別診斷具有較高的價值?！娟P(guān)鍵詞】超聲檢查；造影劑；診斷；附件區(qū)；腫塊【中圖分類號】R445【文獻(xiàn)標(biāo)識碼】A【文章編號】2095-1752(2016)13-0044-02Applicationofcontrast-enhancedultrasoundfordifferentiationofmalignantfrombenignadnexalmasse
3、sWuYing,XiongWen,ChenQin.Departmentofultrasound,SichuanAcademyofMedicalSciences&SichuanProvincialPeople’sHospital,Chengdu610072,China[Abstract】ObjectivesToevaluatethediagnoSticperformaneeofcontrast-enhancedultrasound(CEUS)fordifferentiationofmalignantfrombenignadnexalmasse
4、s.MethodsTwentypatientswithtwentyadnexalmasseswereexaminedwithCEUSinSichuanAcademyofMedicalSciences&SichuanProvincialPeople’sHospitalenrolledinthisretrospectivestudy.Thesonographicfeaturesofmasseswithcontrastmediawereanalyzed,andthediagnosticperformanceofCEUSfordifferentia
5、tionofmalignantfrombenignadnexalmasseswasmeasured?ResultsTherewere6casesofovarianmalignancyand14benignadnexallesions.OnCEUSimages,malignantlesionsshowedirregularanddensevasculardistribution,andapenetratingvascularpatternoramixedpenetratingandperipheralvascularpatternwasdetectedinall
6、casesofovarianmalignancy.Benignlesionsappearedanosignalpatternoraperipheralvascularpatternwithsparseandstraightcapillaryvessels.ThediagnoSticperformaneeofCEUSfordifferentiationofmalignantfrombenignadnexallesionswasmeasuredasthethesensitivityof100%,thespecificityof92.3%andtheaccuracy
7、of93.8%.ConclusionCEUSimprovesthecharacterizationoftumorangiogenesisandperfusion,andhashighdiagnoSticperformaneeindifferentiationofmalignantfromadnexalmasses.【Keywords］Ultrasonography;Contrastmedia;Diagnosis;Adnexalmasses附件區(qū)腫塊是婦科常見疾病，主要包括卵巢、輸卵管腫瘤，炎性包塊等，其中惡性腫塊主要為卵巢惡性腫瘤。卵巢癌的發(fā)病率居婦科惡性腫瘤
8、的第三位，致死率居婦科惡性腫瘤首位，約
