附件区病变经阴道超声造影与彩色多普勒超声检查的对比研究

目的探讨经阴道超声造影对附件区病变的诊断价值。方法64例附件区病变患者，应用经阴道彩色多普勒超声和经阴道超声造影对比检查，比较二者的血流分布情况及诊断附件区良恶性病灶的准确性。结果经阴道彩色多普勒超声能显示26例（66．7％）附件区良性病变及22例（88．0％）恶性病变的血流灌注情况；经阴道超声造影检查可显示良性病变38例（97．4％），恶性病变24例（96．0％）：经阴道超声造影对附件区病变良恶性诊断的准确性为（92．2％），明显高于经阴道彩色多普勒超声（81．3％），P〈0．05。结论超声造影检查能更敏感地显示卵巢病变的血流灌注情况，其对附件区良恶性病变的诊断及鉴别诊断有重要的意义。

Comparative study of color Doppler ultrasound and transvaginal contrast-enhanced ultrasound for adnexal disease

Objective To investigate the value of transvaginal contrast - enhanced ultrasound in diagnosis of adnexal diseases. Methods Sixty -four patients with adnexal diseases were examined by transvaginal color Doppler uhrasound and transvaginal contrast - enhanced ultrasound. Then the accuracy of benign and malignant lesions and condition of blood distribution in adnexal region were compared. Results The blood flow perfusion in twenty - six cases of benign lesions（66.7% ） and 22 cases of malignant lesions （ 88.0% ） were displayed by transvaginal color Doppler uhrasound, while 38 benign lesions （97.4%） and 24 malignant lesions（96.0% ） were displayed by transvaginal contrast -enhanced ultrasound. The accuracy of transvaginal contrast -enhanced ultrasound （92.2%） in the diagnosis of benign and malignant lesions was higher than that of transvaginal color Doppler ultrasound （81.3%） , （ P 〈 0.05 ）. Conclusion Contrast - enhanced ultrasound can display the blood flow peffusion condition of oophoropathy more sensitively, and it has important value in the diagnosis and differential diagnosis of adnexal diseases.