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超声造影(CEUS)在子宫内膜病变诊断中的作用。

Role of contrast-enhanced ultrasound (CEUS) in the diagnosis of endometrial pathology.

作者信息

Pop Ciprian Mihaita, Mihu Dan, Badea Radu

机构信息

2nd Department of Obstetrics and Gynecology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Ultrasound Laboratory, Department of Imaging and Radiology, Octavian Fodor Regional Institute of Gastroenterology and Hepatology and Department of Medical Imaging, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

出版信息

Clujul Med. 2015;88(4):433-7. doi: 10.15386/cjmed-499. Epub 2015 Nov 15.

DOI:10.15386/cjmed-499
PMID:26733740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4689232/
Abstract

Ultrasound is the reference imaging procedure used for the exploration of endometrial pathology. As medical procedures improve and the requirements of modern medicine become more demanding, gray-scale ultrasound is insufficient in establishing gynecological diagnosis. Thus, more complex examination techniques are required: Doppler ultrasound, contrast-enhanced ultrasound (CEUS), 3D ultrasound, etc. Contrast-enhanced ultrasound is a special examination technique that gains more and more ground. This allows a detailed real-time evaluation of microcirculation in a certain territory, which is impossible to perform by Doppler ultrasound. The aim of this review is to synthesize current knowledge regarding CEUS applications in endometrial pathology, to detail the technical aspects of endometrial CEUS and the physical properties of the equipment and contrast agents used, as well as to identify the limitations of the method.

摘要

超声是用于探查子宫内膜病变的参考成像程序。随着医疗程序的改进以及现代医学需求变得更加苛刻,灰阶超声在确立妇科诊断方面已显不足。因此,需要更复杂的检查技术:多普勒超声、超声造影(CEUS)、三维超声等。超声造影是一种越来越广泛应用的特殊检查技术。它能够对特定区域的微循环进行详细的实时评估,而这是多普勒超声无法做到的。本综述的目的是综合有关超声造影在子宫内膜病变中应用的当前知识,详述子宫内膜超声造影的技术方面以及所使用设备和造影剂的物理特性,同时确定该方法的局限性。

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本文引用的文献

1
Application of Combined Two-Dimensional and Three-Dimensional Transvaginal Contrast Enhanced Ultrasound in the Diagnosis of Endometrial Carcinoma.二维与三维经阴道超声造影联合应用在子宫内膜癌诊断中的应用
Biomed Res Int. 2015;2015:292743. doi: 10.1155/2015/292743. Epub 2015 May 18.
2
Oral and I.V. contrast enhanced ultrasonography of the digestive tract--a useful completion of the B-mode examination: a literature review and an exhaustive illustration through images.消化道口服及静脉注射造影增强超声检查——B 型超声检查的有益补充:文献综述及图像详尽阐释
Med Ultrason. 2015 Mar;17(1):62-73. doi: 10.11152/mu.2013.2066.171.cnrb.
3
Contrast-enhanced ultrasound in portal venous system aneurysms: a multi-center study.门静脉系统动脉瘤的超声造影:一项多中心研究
World J Gastroenterol. 2014 Dec 28;20(48):18375-83. doi: 10.3748/wjg.v20.i48.18375.
4
Ultrasound in the examination of the gallbladder - a holistic approach: grey scale, Doppler, CEUS, elastography, and 3D.胆囊检查中的超声——一种整体方法:灰阶、多普勒、超声造影、弹性成像及三维成像
Med Ultrason. 2014 Dec;16(4):345-55. doi: 10.11152/mu.201.3.2066.164.rbrz.
5
Contrast-enhanced ultrasound of the liver and kidney.肝脏和肾脏的超声造影检查。
Radiol Clin North Am. 2014 Nov;52(6):1177-90. doi: 10.1016/j.rcl.2014.07.005. Epub 2014 Sep 10.
6
Contrast-enhanced ultrasound defines vascularization pattern of hamartomatous colonic polyps in Peutz-Jeghers syndrome.超声造影可明确黑斑息肉综合征中错构瘤性结肠息肉的血管化模式。
Gut Liver. 2014 Nov;8(6):680-2. doi: 10.5009/gnl14044. Epub 2014 Nov 15.
7
Contrast enhanced ultrasound of the kidneys: what is it capable of?肾脏的超声造影:它能做到什么?
Biomed Res Int. 2013;2013:595873. doi: 10.1155/2013/595873. Epub 2013 Dec 24.
8
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Med Ultrason. 2013 Jun;15(2):85-94. doi: 10.11152/mu.2013.2066.152.afb1ats2.
9
Cancer statistics, 2013.癌症统计数据,2013 年。
CA Cancer J Clin. 2013 Jan;63(1):11-30. doi: 10.3322/caac.21166. Epub 2013 Jan 17.
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Contrast enhanced and Doppler ultrasonography in the characterization of the microcirculation. Expectancies and performances.对比增强超声和多普勒超声在微循环特征描述中的应用:预期与表现
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