Comparison on diagnostic efficiency of transvaginal color Doppler ultrasound and contrast-enhanced ultrasound in pelvic tuberculosis
HOU Peng
WEI Han
ZUO Weina
Abstract：Objective To compare the diagnostic efficiency of transvaginal color Doppler ultrasound and contrast-enhanced ultrasound(CEUS)in pelvic tuberculosis.Methods A total of 90 patients with pelvic tuberculosis admitted to Hebei Chest Hospital were enrolled as the research objects between June 2022 and December 2023.All underwent transvaginal color Doppler ultrasound and CEUS examinations.The accuracy rate of the two methods in the diagnosis of pelvic tuberculosis was evaluated,imaging characteristics of the two methods were observed.Results The diagnosis accuracy rate of transvaginal color Doppler ultrasound was lower than that of CEUS[60.00%(54/90)vs 82.22%(74/90),P<0.05].There was no significant difference in detection accuracy rates of tuberculosis at different sites(fallopian tube,fallopian ovary,endometrium,pelvic peritoneum)between the two methods(P>0.05).In color Doppler ultrasound,main types of pelvic tuberculosis were cystic masses and solid cystic masses,which were characterized by thick and rough cyst walls,irregular masses and unclear boundary.There was tubal enlargement and sausage-like lesions(34.44%).The main type of echoes was mixed type,there were grade Ⅰ-Ⅲ blood flow signals around the lesions,with maximum lesions diameter of 45.38±15.37 mm.In CEUS,main type of pelvic tuberculosis was cystic masses,which were characterized by irregular masses,uneven filling of contrast agent,unclear boundary and abundant blood flow in the uterine cavity.The main type of echoes was mixed type(80.00%),with maximum lesion diameter of 46.47±14.56 mm,the difference was not statistically significant compared with that by color Doppler ultrasound(P>0.05).Conclusion Compared with transvaginal color Doppler ultrasound,CEUS has higher accuracy rate in the diagnosis of pelvic tuberculosis,which can objectively reflect blood perfusion of lesions and echoes in surrounding tissues,and play an important role in increasing accuracy rate in the early diagnosis of pelvic tuberculosis.
Keywords：pelvic tuberculosistransvaginal color doppler ultrasoundcontrast-enhanced ultrasoundearly diagnosiseffectivenesscomparative study
Publication Date：2025-08-20
Online Publishing Date：2025-09-22(First online date of this platform, not the publication date of the document)
Pages：5( 991-995 )