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目的:探讨超声造影在妇科瘤样病变诊断中的应用价值。方法:对比分析43例卵巢肿瘤及瘤样病变的二维彩色多普勒和超声造影表现。结果:超声造影检查前二维及彩色多普勒超声提示良性病灶31例,恶性病灶5例,7例不能明确诊断;造影检查提示良性病灶36例,恶性病灶7例;手术病理诊断及随访结果良性病灶35例,恶性病灶8例。卵巢良、恶性肿瘤的造影灌注特点存在明显差异。结论:超声造影有助于更准确地评价肿瘤内的血流信息,对卵巢良、恶性肿瘤的鉴别诊断及卵巢肿瘤的早期诊断有重要的参考价值。
Objective: To investigate the value of contrast-enhanced ultrasound in the diagnosis of gynecologic neoplasia. Methods: 43 cases of ovarian tumors and tumor-like lesions were compared by two-dimensional color Doppler and contrast-enhanced ultrasound. Results: Two-dimensional and color Doppler ultrasound before contrast-enhanced ultrasound showed that there were 31 cases of benign lesions, 5 cases of malignant lesions, 7 cases of which could not be diagnosed definitely. 36 cases of benign lesions and 7 cases of malignant lesions were confirmed by contrast-enhanced radiography. The pathological diagnosis and follow- 35 cases of benign lesions, 8 cases of malignant lesions. Ovarian benign and malignant tumors contrast perfusion characteristics there are significant differences. Conclusion: Contrast-enhanced ultrasound is helpful to evaluate the blood flow in the tumor more accurately. It has important reference value for the differential diagnosis of benign and malignant ovarian tumors and the early diagnosis of ovarian tumors.