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1、子宫内膜异位囊肿与黄体血肿超声造影跚究研究生:玛费、黒师:创副教授摘要目的:对卵巢子宫内膜异位囊肿与卵巢黄体血肿进行超声造影对比總二者诊断的准确率。方法:卵巢子宫内膜异位囊肿患者18例(经病理实,卵巢黄体血肿患者18例(超声随访血肿自行消失或手病理宾,进行超声造影检脊从二者的造影剂灌注始增时间、达峰时间、持续时间、卵巢肿瘤血管分级及造影剂灌注囊壁厚度对比分析其表现结果:卵巢子宫内膜异位囊肿与黄体血肿的造影剂灌注始增时间分别为16.5(14.018.0),13.0(11.716.2),达峰时间分别为39.7(34.843.9),22.5(19.926.6),持续吋间分别为88(163.72
2、30.5),235(183340.5),灌注的囊壁厚度分别为0.19±0.057、0.30±0.081,二者的造影剂始增时间、达峰时间比较,有统计学意义(PV0.05),口黄体血肿造影剂达峰吋间较卵巢子宫内膜异位囊肿早,二者的造影剂持续吋间比较,无统计学意义(P>0.05),但是子宫内膜异位囊肿造影剂持续时间较黄体血肿长,二者的造影剂灌注囊壁厚度比较,有统计学意义(PV0.05),口黄体血肿的囊壁厚度较子宫内膜异位囊肿厚,二者的卵巢肿瘤血流分级差异无统计学意义(P>0.05),但子宫内膜异位囊肿与黄体血肿血流分级主要集中于2型。结论超声造影可以鉴别卵巢子宫内膜异位囊肿与卵巢黄体血肿,有助
3、于二者的诊断及正确理关翩”巢;子宫内膜异位囊肿;黄体囊肿出血;超声造影Comparisonstudyofcontrast-enhancedultrasonographyontheovarianendometrioticcystsandcorpusleteumhematomaPostgraduate:Maliya-ReheiSupervisor:ViceProf.XianghongAbstractObjective:Tocomparisonstudyofcontrast一enhancedultrasonographyontheovarianendometriosiscystandcorpu
4、sleteumhematoma,improvebothdiagnosisaccuracy・Methods:ovarianendometriosiscystpatients18cases(confirmedbypathology),ovariancorpusluteumhematomapatients18cases(ultrasoundfollow-uphematomacrumpleintoorsurgicalpathology),toultrasonicimagingexam,fromboththecontrastinfusionofpeaktime,duration,vasgradeo
5、variantumorandcontrastinfusionbursawallthircknesscomparativeanalysisoftheperformanee.Results:ovarianendometriosiscystwithcorpusluteumhematomacontrastinfusionofarrivetiamis:16.5(14.018.0),13.0(11.716.2),peaktimeisrespectivelyis:(34.843.9),22.5(19.926.6),thelosttime:188(163.7230.5),235(183340.5),pe
6、rfusionbursawallthicknessarerespectively:。.19土0.057?0.30±0.081,thecombinationofcontrastagentarrivetimeandreachpeaktimehasstatisticallysignificant(PV0.05),andthecontrastofhematomacorpusluteumarrivetimeandpeaktimeearlythanovarianendometriosiscyst,thecombinationofcomparativeinthelosttime,hasn'tstati
7、sticallysignificant(/^0.05),buttheuteruscystcontrastdurationrelativelycorpusIongerthanluteumhematoma,thecombinationofcontrastinfusionbursawallthicknesscomparison,hasstatisticallysignificant(P<0.05),andthecorpusluteumhe