超声造影在子宫腺肌症和子宫肌瘤鉴别诊断中的应用

摘要

Objective To investigate the application value of contrast - enhanced ultrasound ( CEUS) in diagnosis of uterus adenomyoiss and myoma. Methods Forty - six patients with suspicious myometrium diseases were examined by CEUS,The filling pattern of lesions, contrast - enhanced sequence and degree of myometrium were recorded. Results There were 20patients with uterus adenomyoiss confirmed by surgery and pathology, their appearance was heterogeneous enhancement synchronous with the surrounding normal myometrium. In 26 patients with uterus myoma, there were 38 lesions appeared as early pseudocapsule filling, peripheral semi - ring enhancement, then the internal masses were enhanced. The enhancement of pseudocapsule last a long time, and the filling pattern was different from peripheral normal myometrium. Conclusion CEUS has important value in diagnosis and differential diagnosis of uterine adenomyoiss and myoma.%目的 探讨超声造影在鉴别诊断子宫腺肌症和子宫肌瘤中的应用价值.方法 对46例疑为子宫肌层病变的患者进行超声造影检查,记录病灶的充填方式、肌层的显影顺序及增强程度.结果 经手术与病理证实子宫腺肌症患者20 例,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,呈不均匀性,可见虫蚀样充盈缺损区.26例子宫肌瘤患者中,38个病灶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.结论 超声造影对子宫腺肌症与子宫肌瘤的诊断及鉴别诊断有重要价值.