摘要
目的:探讨二维超声联合三维血流参数在评估子宫动脉栓塞术(UAE)治疗子宫肌瘤的疗效价值。方法:采用配对方法,选取2017年6月—2019年6月本院妇科子宫肌瘤行动脉栓塞术患者49例,比较手术前后二维超声影像学表现、子宫肌瘤体积以及三维血流参数[血管化指数(VI)、血流指数(FI)和血管化血流指数(VFI)],评价二维超声联合三维血流参数对子宫动脉栓塞术治疗子宫肌瘤效果的评估效果。结果:子宫体积、VI、FI和VFI UAE,术后1周与术前无差异(P>0.05),术后3个月、6个月与术前比较子宫体积(56.85±20.11 cm^3、43.81±11.95 cm^3比99.33±28.40 cm^3)、VI(2.00±0.77、1.33±0.49比2.90±1.15)、FI(20.71±2.08、19.14±2.45比23.16±2.50)和VFI(0.60±0.25、0.43±0.19比0.79±0.19)均降低(P<0.05)。结论:二维超声联合三维血流参数对子宫动脉栓塞术治疗子宫肌瘤疗效具有定性与定量的诊断作用,可直观分析动脉血流和瘤体变化,治疗起效时限及疗效持续周期等。
Objective:To explore the value of two-dimensional ultrasonic diagnosis combined with three-dimensional energy flow parameters for evaluating the efficacy of uterine artery embolization in uterine fibroids treatment.Methods:A paired design was used to select 49 women with uterine fibroids who had undergone arterial artery embolization(UAE)from June 2017 to June 2019.The two-dimensional ultrasound imaging results,uterine fibroids volume,and three-dimensional blood flow parameters,such as vascularization index(VI),blood flow index(FI),and vascularized blood flow index(VFI)of women were compared between before and after surgery.The value of two-dimensional ultrasonic diagnosis combined with three-dimensional energy flow parameters for evaluating the efficacy of uterine artery embolization in uterine fibroids treatment.Results:There were no statistically significant differences in the uterine volume and the values of VI,FI and VFI of women between before UAE and 1 week of after UAE(P>0.05).3 or 6 months of after UAE,the uterine volume of women was 56.85±20.11 cm^3 or 43.81±11.95 cm^3,which was significant less than that(99.33±28.40 cm^3)of women before UAE,the VI value of women was 2.00±0.77 or 1.33±0.49,which was significant less than that(2.90±1.15)of women before UAE,the FI value of women 3 or 6 months of after UAE was 20.71±2.08 or 19.14±2.45,which was significant less than that(23.16±2.50)of women before UAE,and the VFI value of women was 0.60±0.25 or 0.43±0.19,which was significant less than that(0.79±0.19)of women before UAE(all P<0.05).Conclusion:Two-dimensional ultrasonic diagnosis combined with three-dimensional blood flow parameters for evaluating the efficacy of uterine artery embolization in uterine fibroids treatment has the qualitative and quantitative values,which can analyze the changes of arterial blood flow and tumor,the time limit of treatment effect,and the duration of efficacy intuitive.
作者
祖莉莉
ZU Lili(Zhongshan Hospital Affiliated to Dalian University, Shandong Province, 116000)
出处
《中国计划生育学杂志》
2020年第12期2081-2083,2087,共4页
Chinese Journal of Family Planning
关键词
子宫肌瘤
子宫动脉栓塞术
二维超声
三维血流参数
Uterine fibroids
Uterine artery embolization
Two-dimensional ultrasound
Three dimensional energy flow parameters
