摘要
目的探讨二维超声和超微血流成像(SMI)在宫颈癌术前分期及术后盆底功能评估中的价值。方法选取在我院行手术治疗的宫颈癌患者62例,均行二维超声、SMI及病理组织活检,以病理结果为金标准,比较二维超声和SMI对宫颈癌术前分期的准确性,以及二维超声评估术后盆底功能的价值。结果二维超声和SMI对宫颈癌术前分期的诊断准确率分别为70.97%和80.65%,两者联合应用诊断准确率为90.32%。术后二维超声检查示26例(41.93%)患者发生前盆腔脱垂,10例(16.13%)发生压力性尿失禁,9例(14.52%)发生后盆腔脱垂,33例(53.23%)患者术后发生盆底功能障碍。宫颈癌术后患者最大Valsalva下膀胱颈移动度、尿道旋转角度、静息下膀胱颈尿道后角、最大Valsalva下膀胱尿道后角均明显高于术前,差异均有统计学意义(均P<0.05)。结论二维超声联合SMI对宫颈癌术前分期的诊断准确性较高,有助于临床制定治疗方案;二维超声对术后盆底功能的评估具有较好价值。
Objective To explore the value of two-dimensional ultrasound and super microvascular imaging(SMI)in preoperative staging and postoperative pelvic floor function assessment of cervical cancer.Methods A total of 62 patients with cervical cancer who received surgical treatment in our hospital were selected to receive two-dimensional ultrasound,SMI and pathological biopsy.Taken the pathological results as the gold standard,the accuracy of two-dimensional ultrasound and SMI in preoperative staging of cervical cancer was compared,and the evaluation value of ultrasound in postoperative pelvic floor function of cervical cancer patients was analyzed.Results The diagnostic accuracy of two-dimensional ultrasound and SMI in cervical cancer preoperative staging were 70.97%and 80.65%,respectively,and the diagnostic accuracy of combined application was 90.32%.Two-dimensional ultrasound of postoperative perineal pelvic floor showed that 26(41.93%)patients had anterior pelvic prolapse,10(16.13%)patients had stress urinary incontinence,9(14.52%)patients had posterior pelvic prolapse,and 33(53.23%)patients had postoperative pelvic floor dysfunction.The maximum Valsalva lower bladder neck mobility,urethral rotation angle,resting bladder neck urethral angle,and maximum Valsalva lower bladder urethral angle after cervical cancer surgery were significantly higher than those before surgery,the differences were statistically significant(all P<0.05).Conclusion Two-dimensional ultrasound combined SMI has higher accuracy in the diagnosis of cervical cancer preoperative staging,which is conducive to the determination of clinical treatment plan.Two-dimensional ultrasound plays an important role in the evaluation of postoperative pelvic floor function.
作者
杨清雅
赵晖
祁俊峰
苏龙
郭雪
YANG Qingya;ZHAO Hui;QI Junfeng;SU Long;GUO Xue(Department of Ultrasound,Wuwei People's Hospital,Gansu 733000,China)
出处
《临床超声医学杂志》
CSCD
2020年第7期545-548,共4页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
二维
超微血流成像
宫颈癌
术前分期
盆底功能
术后
Ultrasonography,two-dimensional
Super microvascular imaging
Cervical cancer
Preoperative staging
Pelvic floor functional,postoperative
