二维超声联合四维彩色多普勒超声在子宫占位性病变诊断中的应用

发布时间：2018-02-24 05:28

本文关键词： 四维彩色多普勒超声子宫占位病变诊断临床分期　出处：《上海交通大学学报(医学版)》2017年07期 　论文类型：期刊论文

【摘要】：目的·探讨二维超声联合四维彩色多普勒超声在子宫占位性病变诊断中的应用价值。方法·纳入2015年3月—2016年2月西南医科大学附属医院诊治的子宫占位性病变患者75例,对患者进行二维和四维彩色多普勒超声检查,确定病变部位、病变数量、病变性质以及恶性病变的临床分期,分析超声检查的准确率。结果·75例子宫占位性病变中,子宫内膜癌26例,子宫肌瘤21例,子宫息肉16例,子宫腺肌病12例;二维超声联合四维彩色多普勒超声对子宫占位性病变的诊断准确率为88.0%,明显高于二维超声(64.0%),差异具有统计学意义(P0.05)。对子宫内膜癌临床分期的诊断,二维超声联合四维彩色多普勒超声诊断准确率为88.5%,明显高于传统二维超声(61.5%),差异具有统计学意义(P0.05)。结论·相对二维超声检查,二维超声联合四维彩色多普勒超声能够提高子宫占位性病变的诊断准确率,更准确地对子宫内膜癌进行术前临床分期,为治疗方案的制定提供依据。
[Abstract]:Objective: to evaluate the value of two dimensional ultrasound combined with four dimensional color Doppler ultrasound in the diagnosis of uterine space occupying lesions. Methods: 75 cases of uterine space occupying lesions diagnosed and treated by the affiliated Hospital of Southwest Medical University from March 2015 to February 2016 were included in this study. Two-dimensional and four-dimensional color Doppler ultrasonography was performed to determine the location, quantity, nature and clinical stage of malignant lesions. There were 26 cases of endometrial carcinoma, 21 cases of hysteromyoma, 16 cases of uterine polyps and 12 cases of adenomyosis. The diagnostic accuracy of two dimensional ultrasound combined with four dimensional color Doppler ultrasound in the diagnosis of uterine space occupying lesions was 88.0, which was significantly higher than that of two dimensional ultrasound (64.0%). The difference was statistically significant (P 0.05). The diagnostic accuracy of two-dimensional ultrasound combined with four-dimensional color Doppler ultrasound was 88.5, which was significantly higher than that of traditional two-dimensional ultrasound (61.5%), and the difference was statistically significant (P 0.05). Two-dimensional ultrasound combined with four-dimensional color Doppler ultrasound can improve the accuracy of diagnosis of uterine space occupying lesions and more accurately carry out preoperative clinical staging of endometrial carcinoma and provide the basis for the formulation of treatment plan.
【作者单位】：西南医科大学附属医院超声科;川北医学院附属医院妇产科;
【基金】：四川省科研计划项目(15ZA0197)~~
【分类号】：R445.1;R737.33

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