摘要
目的利用超声血流动力学观察女性盆腔主要脏器卵巢、子宫供血动脉血流情况,为临床诊断卵巢及子宫良、恶性肿瘤提供血流动力学诊断依据。方法选取从2017年1月～2018年1月在我院就诊的女性卵巢和子宫肿瘤患者,各50例,所有患者最终均手术或者腹腔镜获取标本,证实病理类型,分为4个亚组:A组为卵巢良性肿瘤;B组为卵巢恶性肿瘤;C组为子宫良性肿瘤;D组为子宫恶性肿瘤,每组25例,采用高频超声,明确肿瘤超声下血流形态分级,卵巢动脉和子宫动脉的阻力指数和搏动指数,采用ROC曲线分析超声血流动力学对卵巢癌和子宫癌诊断的敏感度和特异度差异。结果卵巢和子宫良性肿瘤阻力指数、搏动指数高于恶性肿瘤(P<0.05),卵巢和子宫良性肿瘤内部血流信号和周边血流信号检出率与卵巢和子宫恶性肿瘤存在明显差异(P<0.05),阴道超声多普勒诊断卵巢癌敏感度为76.21%,特异度为80.21%。阴道超声多普勒诊断子宫癌敏感度为73.36%,特异度为76.72%。结论彩色多普勒超声通过血流动力学参数可实现早期筛查卵巢癌和子宫癌,具有重要临床应用价值。
Objective To observe the blood supply artery of uterus and ovary in female pelvic organs by ultrasonic kinetics,and to provide the basis of hemodynamic for clinical diagnosis of good and malignant ovaran and uterine tumor.Methods From January 2017 to January 2018,50 women with ovarian and uterine tumors were selected.All patients underwent surgery or laparoscopic specimens to confirm the pathological type.They were divided into four subgroups:group A was benign ovarian tumors;Group B is malignant ovarian tumors;Group C is uterine benign tumors;Group D is uterine malignant tumors,25 cases in each group.High-frequency ultrasound was used to determine the morphological classification of blood flow under ultrasound,the resistance index and pulsation index of ovarian artery and uterine artery,and the specificity and sensitivity difference of ultrasound hemodynamics in the diagnosis of ovarian and uterine malignant lesions were analyzed by ROC curve.Results The ovarian and uterine benign tumors resistance index and pulsatility index were higher than malignant tumors(P<0.05).The internal signal and peripheral signal detection rate of ovarian and uterine benign tumors were significantly different from those of ovarian and uterine malignant tumor s(P<0.05).The sensitivity of Vaginal ultrasound Doppler diagnosis for ovarian cancer was 76.21%,and the specificity was 80.21%.The sensitivity of vaginal ultrasound Doppler diagnosis for uterine cancer was 73.36%,and the specificity was 76.72%.Conclusion Color Doppler ultrasound can achieve early screening for malignant ovarian cancer and malignant uterine cancer through hemodynamic parameters,which has important clinical value.
作者
吴素贞
唐宪明
伍映红
WU Suzhen;TANG Xianming;WU Yinghong(Maternal and Child Health Hospital of Yangchun,Yangchun 529600,China)
出处
《分子影像学杂志》
2019年第1期35-38,共4页
Journal of Molecular Imaging
关键词
彩色多普勒超声
血流动力学
卵巢癌
子宫癌
color Doppler ultrasound
hemodynamics
ovarian cancer
uterine cancer
