摘要
目的比较经阴道彩色多普勒超声与超声造影(CEUS)对盆腔结核诊断的应用效能。方法选取河北省胸科医院2022年6月~2023年12月收治的90例盆腔结核患者为研究对象,所有患者均行经阴道彩色多普勒超声检查以及CEUS检查,评价两者诊断盆腔结核的准确率,观察两者影像学表现特征差异。结果经阴道彩色多普勒超声诊断准确率60.00%,(54/90),低于CEUS检查诊断准确率82.22%(74/90),差异有统计学意义(P<0.05),二者检测输卵管、输卵管卵巢、子宫内膜以及盆腔腹膜等不同部位结核的准确率差异无统计学意义(P>0.05);彩色多普勒超声中,盆腔结核形态以囊性包块、囊实性包块为主,包囊壁厚,粗糙,且包块形态不规则,边界不清晰。输卵管增大多呈腊肠样病变(34.44%)。检测回声以混合型回声为主(65.56%),可检测到病灶周围I~Ⅲ级血流信号,病灶最大直径为45.38±15.37 mm;CEUS检查中盆腔结核形态以囊性包块为主,包块形态不规则,造影剂存在充盈不均匀,边界不清晰,宫腔内血流丰富。检测回声以混合型回声为主(80.00%)。病灶最大直径为46.47±14.56 mm,与彩色多普勒超声检查病灶直径的差异无统计学意义(P>0.05)。结论经阴道CEUS较彩色多普勒超声诊断盆腔结核的准确率更高,且其能客观反映病灶血流灌注情况以及周围组织回声情况,为提高早期盆腔结核诊断准确率起到重要作用。
Objective To compare the diagnostic efficiency of transvaginal color Doppler ultrasound and contrast-enhanced ultrasound(CEUS)in pelvic tuberculosis.Methods A total of 90 patients with pelvic tuberculosis admitted to Hebei Chest Hospital were enrolled as the research objects between June 2022 and December 2023.All underwent transvaginal color Doppler ultrasound and CEUS examinations.The accuracy rate of the two methods in the diagnosis of pelvic tuberculosis was evaluated,imaging characteristics of the two methods were observed.Results The diagnosis accuracy rate of transvaginal color Doppler ultrasound was lower than that of CEUS[60.00%(54/90)vs 82.22%(74/90),P<0.05].There was no significant difference in detection accuracy rates of tuberculosis at different sites(fallopian tube,fallopian ovary,endometrium,pelvic peritoneum)between the two methods(P>0.05).In color Doppler ultrasound,main types of pelvic tuberculosis were cystic masses and solid cystic masses,which were characterized by thick and rough cyst walls,irregular masses and unclear boundary.There was tubal enlargement and sausage-like lesions(34.44%).The main type of echoes was mixed type,there were grade I-Ⅲblood flow signals around the lesions,with maximum lesions diameter of 45.38±15.37 mm.In CEUS,main type of pelvic tuberculosis was cystic masses,which were characterized by irregular masses,uneven filling of contrast agent,unclear boundary and abundant blood flow in the uterine cavity.The main type of echoes was mixed type(80.00%),with maximum lesion diameter of 46.47±14.56 mm,the difference was not statistically significant compared with that by color Doppler ultrasound(P>0.05).Conclusion Compared with transvaginal color Doppler ultrasound,CEUS has higher accuracy rate in the diagnosis of pelvic tuberculosis,which can objectively reflect blood perfusion of lesions and echoes in surrounding tissues,and play an important role in increasing accuracy rate in the early diagnosis of pelvic tuberculosis.
作者
侯鹏
魏晗
左卫娜
HOU Peng;WEI Han;ZUO Weina(Department of Function,Hebei Chest Hospital,Shijiazhuang 050000,China;Department of Obstetrics and Gynecology,Hebei Chest Hospital,Shijiazhuang 050000,China)
出处
《分子影像学杂志》
2025年第8期991-995,共5页
Journal of Molecular Imaging
基金
河北省卫生健康委科研基金项目(20191028)。
关键词
盆腔结核
经阴道彩色多普勒超声
超声造影
早期诊断
效能
比较研究
pelvic tuberculosis
transvaginal color doppler ultrasound
contrast-enhanced ultrasound
early diagnosis
effectiveness
comparative study
