妇产科疾病静脉超声造影临床应用中国专家共识(2023版)

中华超声影像学杂志2023年7月第32卷第7期Chin J Ultrasonogr,July2023,Vol32,No.7·553··标准与规范·妇产科疾病静脉超声造影临床应用中国专家共识(2023版)中国医师协会超声医师分会通信作者：杨敏，首都医科大学附属北京世纪坛医院超声科，北京100038，Email:yangmin@bjsjth.cn;何文，首都医科大学附属北京天坛医院超声科，北京100050，Email:hewen168@sohu.com;戴睛，中国医学科学院北京协和医学院北京协和医院超声科，北京100730，Email:qingdai_2020@163.com【摘要】静脉超声造影(contrast enhanced ultrasound.,CEUS)技术在妇产科疾病诊断中应用日趋广泛，但临床对其适应证的选择尚存在困惑，检查的规范性也亟待提高。为此，中国医师协会超声医师分会组织国内该领域超声专家，参考国内外相关指南、文献，并结合国内专家的临床经验，从临床实用角度细化了妇产科超声造影临床应用的适应证及报告书写规范，提出了11条专家建议，采用改良德尔菲法达成中国专家共识，旨在推动CEUS在妇产科疾病中的规范化临床应用。【关键词】造影剂；超声检查：妇产科学；临床应用；德尔菲法；专家共识实践指南注册：国际实践指南注册与透明化平台，PREPARE-2023CN357D0I:10.3760/cma.j.cm131148-20230317-00154Chinese expert consensus on the clinical application of intravenous contrast enhanced ultrasound in obstetricsand gynecology(version 2023)Ultrasound Branch of Chinese Medical Doctor AssociationCorresponding author:Yang Min,Depart ment of Ultrasound,Beijing Shijitan Hospital,Capital MedicalUniversity,Beijing 100038,China,Email:yangmin@bjsjth.cn:He Wen.Department of Ultrasound,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050.China,Email:hewen168@sohu.com:Dai Qing,Department of Ultrasound.Chinese Academy of Medical Sciences &Peking UnionMedical College,Peking Union Medical College Hospital,Beijing 100730,China,Email:qingdai_2020@163.c0m[Abstract]The contrast enhanced ultrasound (CEUS)technique has been widely applied in thediagnosis of diseases in obstetrics and gynecology.However,there is still confusion about the choice ofindication in clinic,and the standardization of examination needs to be improved urgently.Therefore,domestic sonographers in this field were organized to refine the indications and report writing specificationsfor clinical application of gynecological and obstetric CEUS by Chinese Ultrasound Doctors Association,putforward 11 expert advices according to the clinical practice experience,relevant domestic and foreignguidelines and literatures,and reached consensus among Chinese experts by applying the improved Delphimethod,which aims to promote the standardized clinical application of CEUS in gynecological and obstetricdiseases.[Key words]Contrast media:Ultrasonography:Obstetrics and gynecology:Clinical applications:Modified Delphi Method:Expert consensusPractice guideline registration:Practice Guideline Registration for Transparency,PREPARE-2023CN357D0I:10.3760/cma.j.cm131148-20230317-00154超声造影(contrast-enhanced ultrasound,临床应用提供了依据；早在2011年欧洲超声医学与CEUS)的临床应用始于对肝脏病变的鉴别诊断1]。生物学联合会(European Federation of Societies for超声检查是妇产科疾病首选影像学检查方法，但常规Ultrasound in Medicine and Biology,EFSUMB)超声对部分病变的良恶性鉴别仍较困难，CEUS可能布的CEUS非肝脏临床应用指南中，将妇产科CEUS弥补其不足。2017年中国医师协会超声医师分会制列为潜在应用的首位)。CEUS在妇产科疾病诊断中定颁布的《中国超声造影临床应用指南》]为CEUS应用也随之日趋广泛，但临床对其适应证的选择尚存