经静脉Levovist造影超声在盆腔肿块诊断中的应用研究

Evaluation of Intravenous Ultrasound Contrast Levovist into Peripheral Vein to Diagnosis of Pelvic Mass

目的 评价经静脉Levovist造影超声对盆腔肿块的诊断价值。方法 盆腔肿块 17例 ,18个肿块行能量谐波声学造影 (PHCI) ,其中子宫肌瘤 7例 ,子宫腺肌瘤 3例 ,巧克力囊肿 2例 ,卵巢囊性畸胎瘤 6例 ,经肘静脉注射造影剂Levovist。结果 7例子宫肌瘤边缘环形及内部星点状血流密度增高 ;3例子宫腺肌瘤及 2例巧克力囊肿呈星点状血流 ;6例卵巢囊性畸胎瘤未见血流信号。结论 通过能量谐波声学造影提高了子宫血流信号的敏感性 ,有助于盆腔肿块性质的鉴别。

Objective To evaluate efficiency of ultrasound contrast Levovist for diagnosis of pelvic mass. Methods Power harmonic contrast imaging (PHCI) was used for diagnosis of 18 cases of pelvic mass, including 7 hysteromyoma, 3 endometrioma, 2 chocolate cyst and 6 ovary cystic teratoma. The contrasts Levovist were administered through elbow veins. Results After administration of PHCI, the peripheral circular and internal spots blood flow signals were shown in 7 hysteromyoma; 3 endometrioma and 2 chocolate cyst show some inside color spots; while no signal was observed in 6 ovary cystic teratoma. Conclusion PHCI can enhance intensity of the blood flow signals in uterus. It is helpful for nature identification of pelvic mass. [