黄体囊肿出血的三维超声图像分析-影像医学与核医学专业论文.docxVIP

— — PAGE 1— 摘 要 黄体囊肿出血的三维超声图像分析 研究生：吴 隽 导师：向 红副教授 摘 要 目的 探讨黄体囊肿出血(Hemorrhagic Corpus Luteum Cyst, HCLC)的三维超声 图像特点，提高超声对HCLC的诊断准确率。方法 应用三维超声(Three-dimensional ultrasound, 3DUS)和三维能量多普勒(Three-dimensional power doppler, 3DPD)技术对 48例(53枚)HCLC进行三维超声成像，对HCLC的结构、内外部特征、血供分布及血 流动力学参数(PI、RI、PSV)进行观察和测量，4例(4枚)手术病理确诊，44例(49枚) 经长期随访证实。 结果 53枚HCLC的三维超声图像点状回声型24枚、筛网状回声 型9枚、不均质高回声型12枚和不均质低回声型8枚；三维能量多普勒图像表现为无 血流信号型21枚、点线状血流信号型11枚、球面状血流信号型20枚。黄体囊肿出血 不同组别间的血流动力学参数(PI、RI、PSV)，差异有统计学意义(P 0.05)。早晚期 HCLC与中期HCLC的血流显示率之间的差异有统计学意义(P 0.05)。 结论 三维 超声能多切面、多角度获取更多诊断信息，为黄体囊肿出血的诊断提供更多形态学 和血流动力学依据。 关键词：黄体囊肿出血； 三维超声； 能量多普勒 新疆医科大学医学硕士学位论文 Analysis of the Three-dimension Ultrasound Features of Hemorrhagic Corpus Luteum Cyst Postgraduate: Wu Juan Supervisor: Prof. Xiang Hong Abstract Objective: To discuss the three-dimension ultrasound(3DUS)and three-dimensional power Doppler ultrasound(3DPD)features of morrhagic corpus leteum cyst(HCLC). Methods: The sonographic features of 53 HCLC in 48cases were analyzed combing with real-time 3DUS and 3DPD features which were proven by follow up or pathology. Evaluation of the possibility of qualitations which using the 3DUS and 3DPD. Results: The 3DUS features were classified into fore types: the point-like type, the reticulation type, the uneven high and low echo type. And The 3DPD features were classified into three types: the no-flow type, the point liner type, and the spherical-shaped type. Comparison of the HCLC between different groups of hemodynamic parameters(PI, RI, PSV), the difference was statistically. Conclusion: 3DUS can provide reliable information for diagnosis. Key word：Hemorrhagic Corpus luteum cyst; three-dimensional ultrasound; power Doppler 中英文缩略词对照表 英文缩写 英文全名 中文译名 HCLC Hemorrhagic Corpus Luteum Cyst  黄体囊肿出血 3DUS Three-dimensional Ultrasound  三维超声 3DPD Three-dimensional Power Doppler  三维能量多普勒 PSV Peak Systolic Velocity 收缩期峰值流速 RI Resistance Index 阻力指数 PI Pulsatility Index 搏动指数 FSH Follicle-stimulating Hormone  在卵泡刺激素 LH Luteinizing Hor