彩色多普勒超声测定子宫内膜癌血流动力学参数在子宫内膜癌早期诊断中的价值

发布时间：2018-03-29 13:33

本文选题：子宫内膜癌　切入点：彩色多普勒超声　出处：《中国老年学杂志》2017年02期

【摘要】：目的探讨彩色多普勒超声(CDFI)测定子宫内膜癌(EC)血流动力学参数与微血管密度(MVD)的相关性。方法 2010年7月至2014年7月以绝经后阴道出血、生育期阴道不规则出血来该院就诊的65例患者,根据病理学诊断结果分为观察组(EC患者,32例)和对照组(子宫内膜增生患者,33例)。测定两组患者病灶处血流情况、血流动力学参数搏动指数(PI)、阻力指数(RI)与病灶组织内MVD,分析CDFI测定EC血流动力学参数与MVD的相关性。结果观察组患者子宫内膜CDFI血流信号率、MVD值均显著高于对照组(P0.05),PI和RI均显著低于对照组(P0.05);EC患者RI与MVD呈负相关(r=-0.501,P0.05),PI与MVD不相关(r=-0.379,P0.05)。结论 EC患者病灶组织RI与MVD存在负相关,术前CDFI检测EC患者RI对EC的早期诊断具有重要意义。
[Abstract]:Objective to investigate the correlation between hemodynamic parameters and microvessel density (MVD) of endometrial carcinoma (ECC) by CDFI. Methods from July 2010 to July 2014, the patients were treated with postmenopausal vaginal bleeding. According to pathological diagnosis, 65 patients with irregular vaginal bleeding in reproductive period were divided into two groups: the observation group (32 cases) and the control group (33 cases of endometrial hyperplasia). Hemodynamic parameters pulsatile index (Pi) and resistance index (RI) were used to analyze the correlation between CDFI measurement of EC hemodynamic parameters and MVD. Results the blood flow signal rate of endometrial CDFI in the observation group was significantly higher than that in the control group. There was a negative correlation between RI and MVD in patients with EC. Conclusion there is a negative correlation between RI and MVD in the patients with EC. Conclusion there is a negative correlation between RI and MVD in patients with EC. Preoperative CDFI detection of RI in EC patients is of great significance for early diagnosis of EC.
【作者单位】：安徽医科大学第一附属医院超声科;
【分类号】：R445.1;R737.33

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