经阴道彩色多普勒技术对侵蚀性葡萄胎的诊断价值  

Diagnostic value for invasive mole by transvaginal color Doppler sonography.

作　　者：穆俊武[1] 雷小莹[1] 席梅英[1] 张思贞[2] 刘惠喜[2] 张忠明 

机构地区：[1]西安医科大学附属二院超声研究室 [2]西安医科大学附属一院妇产科

出　　处：《中国实用妇科与产科杂志》1997年第6期353-354,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：为探讨经阴道彩色多普勒超声（ＴＶＣＤ）对侵蚀性葡萄胎的早期诊断，对１９例侵蚀性葡萄胎行ＴＶＣＤ血流检测，以９１例正常早孕、３５例正常非孕子宫、１３例良性葡萄胎作为对照组。结果：侵蚀性葡萄胎肌壁血流丰富，子宫动脉和螺旋动脉ＰＳ值明显增高（Ｐ＜０．００５），ＲＩ、ＰＩ值明显降低（Ｐ＜０．００５）。以肌壁血窦＞５ｍｍ作为侵蚀性葡萄胎的诊断标准，其敏感性９５％，特异性１００％。表明ＴＶＣＤ是检测侵蚀性葡萄胎的有效方法，血流动力学参数和肌壁血窦对早期诊断具有重要的价值。Objective:To study the value of transvaginal color Doppler sonography(TVCD)in early diagnosis of the invasive mole.Desigen:Transvaginal color Doppler was used to examine the blood flow of uterine artery(UTA)and spiral artery(SA)in 19 invasive mole.91 normal early pregancy,35 non-pregnant women and 13 hydatidiform mole were as control.The peak systolic velocity(PS),rdsistance index(RI),pulse index(PI) were calculated.Results:The blood flow was rich and blazing within myometrium of the invasive mole.The PS value of UTA and SA was higher(P<0.005),the RI,PI value was lower(P<0.005) than those of the control group.That the size of blood sinusoid was more than 5 mm was used as the criterion for diagnosis of the invasive mole.the sensitivity rate was 95% and specificity rate was 100%.Conclusion:The results showed that TVCD is an effective method to detect the invasive mole;the hemodynamic parameter and blood sinusoid have an important value for the early diagnosis. \ \

关 键 词：经阴道 彩超 侵蚀性葡萄胎 葡萄胎 超声波诊断 

分 类 号：R737.330.4[医药卫生—肿瘤] R730.41[医药卫生—临床医学]