子宫内膜异位囊肿与黄体血肿超声造影对比研究
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摘要
目的：对卵巢子宫内膜异位囊肿与卵巢黄体血肿进行超声造影对比研究,提高二者诊断的准确率。方法：卵巢子宫内膜异位囊肿患者18例(经病理证实),卵巢黄体血肿患者18例(超声随访血肿自行消失或手术病理证实),进行超声造影检查,从二者的造影剂灌注始增时间、达峰时间、持续时间、卵巢肿瘤血管分级及造影剂灌注囊壁厚度对比分析其表现。结果：卵巢子宫内膜异位囊肿与黄体血肿的造影剂灌注始增时间分别为：16.5(14.0 18.0),13.0(11.7 16.2),达峰时间分别为：39.7(34.8 43.9),22.5(19.9 26.6),持续时间分别为：188(163.7 230.5),235(183 340.5),灌注的囊壁厚度分别为：0.19±0.057、0.30±±0.081,二者的造影剂始增时间、达峰时间比较,有统计学意义(P<0.05),且黄体血肿造影剂达峰时间较卵巢子宫内膜异位囊肿早,二者的造影剂持续时间比较,无统计学意义(P>0.05),但是子宫内膜异位囊肿造影剂持续时间较黄体血肿长,二者的造影剂灌注囊壁厚度比较,有统计学意义(P<0.05),且黄体血肿的囊壁厚度较子宫内膜异位囊肿厚,二者的卵巢肿瘤血流分级差异无统计学意义(P>0.05),但子宫内膜异位囊肿与黄体血肿血流分级主要集中于2型。结论：超声造影可以鉴别卵巢子宫内膜异位囊肿与卵巢黄体血肿,有助于二者的诊断及正确处理。
Objective:To comparison study of contrast-enhanced ultrasonography on the ovarian endometriosis cyst and corpus leteum hematoma, improve both diagnosis accuracy. Methods:ovarian endometriosis cyst patients 18 cases (confirmed by pathology), ovarian corpus luteum hematoma patients 18 cases (ultrasound follow-up hematoma crumple into or surgical pathology), to ultrasonic imaging exam, from both the contrast infusion of peak time, duration, vas grade ovarian tumor and contrast infusion bursa wall thirckness comparative analysis of the performance. Results:ovarian endometriosis cyst with corpus luteum hematoma contrast infusion of arrive tiam is: 16.5(14.018.0),13.0(11.716.2), peak time is respectively is:(34.843.9),22.5(19.9 26.6),the lost time:188(163.7230.5),235(183340.5), perfusion bursa wall thickness are respectively:0.19±0.057.0.30±.081, the combination of contrast agent arrive time and reach peak time has statistically significant (P<0.05), and the contrast of hematoma corpus luteum arrive time and peak time early than ovarian endometriosis cyst, the combination of comparative in the lost time, hasn't statistically significant (P>0.05), but the uterus cyst contrast duration relatively corpus longer than luteum hematoma, the combination of contrast infusion bursa wall thickness comparison, has statistically significant (P<0.05), and the corpus luteum hematoma bursa wall thickness is uterus cyst thick, the combination of vas grade ovarian tumor between them hsa statistically significant (P>0.05), uterus cyst with corpus luteum hematoma focused mainly on typel. Conclusion:ultrasonic imaging can identify of ovarian endometriosis cyst with ovarian corpus luteum hematoma, can further improve the correct diagnosis between disease and correct deal with
Objective:To comparison study of contrast-enhanced ultrasonography on the ovarian endometriosis cyst and corpus leteum hematoma, improve both diagnosis accuracy. Methods:ovarian endometriosis cyst patients 18 cases (confirmed by pathology), ovarian corpus luteum hematoma patients 18 cases (ultrasound follow-up hematoma crumple into or surgical pathology), to ultrasonic imaging exam, from both the contrast infusion of peak time, duration, vas grade ovarian tumor and contrast infusion bursa wall thirckness comparative analysis of the performance. Results:ovarian endometriosis cyst with corpus luteum hematoma contrast infusion of arrive tiam is: 16.5(14.018.0),13.0(11.716.2), peak time is respectively is:(34.843.9),22.5(19.9 26.6),the lost time:188(163.7230.5),235(183340.5), perfusion bursa wall thickness are respectively:0.19±0.057.0.30±.081, the combination of contrast agent arrive time and reach peak time has statistically significant (P<0.05), and the contrast of hematoma corpus luteum arrive time and peak time early than ovarian endometriosis cyst, the combination of comparative in the lost time, hasn't statistically significant (P>0.05), but the uterus cyst contrast duration relatively corpus longer than luteum hematoma, the combination of contrast infusion bursa wall thickness comparison, has statistically significant (P<0.05), and the corpus luteum hematoma bursa wall thickness is uterus cyst thick, the combination of vas grade ovarian tumor between them hsa statistically significant (P>0.05), uterus cyst with corpus luteum hematoma focused mainly on typel. Conclusion:ultrasonic imaging can identify of ovarian endometriosis cyst with ovarian corpus luteum hematoma, can further improve the correct diagnosis between disease and correct deal with
引文
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[14]于冰,王剑玲.超声对卵巢巧克力囊肿的诊断价值及误诊分析[J].中国药物与临床,2006；2(6)：143-144
[15]向红,周春民,吕永泉,等.子宫内膜异位囊肿的超声显像周期性变化观察[J].新疆医科大学学报1999.22(3)194-195
[16]Anna K. Imaging the human cor pus lu teum[J]. J Ult rasound Med,2001,20(8):811-819.
[17]Jain K. Sonographic s pect rum of hem orrhagic ovarian cysts [J]. JUlt rasoun d Med,2002,21(8):879-886.
[18]彭玉,李凤.经阴道超声诊断卵巢黄体[J].中国超声诊断杂志,2005,6(4)：291-293.
[19]Anna K. Imaging the human corpus luteum[J].2001,20(8):811-819.
[20]Jain K. Sonographic spectrum of hemorrhagic ovarian cysts [J]. JUltrasound Med, 2002,21(8):879-886.
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[22]张璟,裴秋艳,姜玉新,等.黄体囊肿出血的超声图像分析[J].中国医学影像技术,2005,25(9)：1419-1421.
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