摘要
目的观察卵巢内膜样囊肿卵巢间质血流变化,探讨相关临床病理因素。方法应用彩色多普勒超声检测60例卵巢内膜样囊肿患者卵巢间质动脉血流,搜集相关临床病理资料,进行分析研究;60例正常女性的超声检测作为对照。结果①卵巢内膜样囊肿卵巢间质血流不丰富,多呈星点状;动脉频谱为高阻型,RI(阻力指数)、PI(搏动指数)、S/D(动脉收缩期峰值流速/舒张末期血流速度)均高于正常,差异有统计学意义(P<0.01)。②年龄>35岁,病程>1年是卵巢内膜样囊肿卵巢间质血流不易显示的危险因素;血流显示区域的不同与病程、囊肿类型(单房或多房)有关(P<0.05)。结论超声检测卵巢内膜样囊肿卵巢间质血流变化,可了解其病理生理,预测其对卵巢间质组织的损伤,利于诊治。
Objective To explore the changes of ovarian stromal blood flow and relevant clinicopathologic factors in patients with ovarian endometrial cysts.Methods Color Dopple features and blood flow indices within the ovarian stromal artery were measured in 60 patients,while their clinicopathologic data were reviewed and comparatively analyzed;60 normal females were selected as controls.Results ①In ovarian endometrial cyst group,the color signal pattern was dot-like with high-resistance ovarian stromal arterial flow which manifested as significant higher RI（resistance index）,PI（pulsatility index） and S/D（peak systolic velocity/end-diastolic velocity） than those of control group（P0.01）.②Analysis of the clinicopathologic data showed that patient’s age and cyst’s history were risk factors affecting the absence of ovarian stromal blood signal,while cyst’s history and polycystic cyst closely related to the significant difference of blood flow display area（P0.05）.Conclusion The changes of ovarian stromal blood flow detected by transvaginal color Doppler ultrasound can indicate the pathological conditions of ovarian endometrioid cysts,and foretell the ovarian interstitial damages that contribute to its clinical diagnosis and treatment.
出处
《中华全科医学》
2010年第11期1362-1364,F0003,共4页
Chinese Journal of General Practice
