经静脉实时超声造影在产科异常子宫局灶性病变诊断中的价值

Uterus contrast enhanced ultrasonography in diagnosis of obstetric diseases

目的探讨经静脉实时超声造影在产科异常子宫局灶性病变中的应用及临床价值。方法对47例产科异常子宫局灶性病变患者行经静脉超声造影,观察病变部位的微血管灌注情况,与手术和病理检查所见进行比较,分析不同病因的子宫局灶性病变造影表现特点。结果47例患者子宫局灶性病变的超声造影充盈方式及增强程度各有特点,通过对各类病变造影灌注情况的观察,可为病灶部位、大小,与周边组织的关系提供直观可靠的依据。结论超声造影可为产科异常子宫局灶性病变提供更丰富的信息,有其特定的临床应用价值。

Objective To assess the application of contrast enhanced ultrasonography in diagnosis of obstetric diseases. Methods Contrast enhanced ultrasonography was performed in 47 patients with obstetric diseases which needed terminate pregnancy, the real-time progress of hemoperfusion in the uterine lesions was observed. The findings in contrast perfusion were compared with histological results of surgical specimens in various obstetric diseases. Results Contrast enhanced sonographic patterns and sequences were characteristic for various uterine lesions, in terms of location, size of lesion and the relation to adja-cent tissues. Conclusion Contrast enhanced ultrasonography provides detailed information of uterine lesions, it is of value in di-agnosis of obstetric diseases.