经阴道三维彩超在子宫动脉栓塞术治疗子宫肌瘤中的应用  

Application of Transvaginal 3D Color Doppler Ultrasonography in Uterine Artery Embolization

作　　者：邹洪达[1] 程文[2] 金花玉[1] 鞠国华[1] 王艳艳[1] 邓晓春[1] 高晓虹[1] 

机构地区：[1]哈尔滨医科大学附属第五医院超声室,黑龙江省大庆市163316 [2]哈尔滨医科大学附属第三医院超声科

出　　处：《中国超声医学杂志》2008年第11期1026-1029,共4页Chinese Journal of Ultrasound in Medicine

基　　金：黑龙江省卫生厅资助项目(No.2005-122)

摘　　要：目的探讨经阴道三维彩色多普勒超声在子宫动脉栓塞术治疗子宫肌瘤中的应用价值。方法应用经阴道三维彩色多普勒超声对47例患者在子宫动脉栓塞术前后进行肌瘤检测,重点观察肌瘤位置、内部回声、血流情况及肌瘤体积的变化。结果(1)术后肌瘤内血流信号明显减少或消失;(2)术前应用三维血管透明成像重建子宫肌瘤供血血管对子宫动脉栓塞术能起到一定的指导作用;(3)子宫动脉栓塞术近期效果明显,术后1至6个月肌瘤体积逐渐缩小;(4)术后肌瘤体积的缩小程度与肌瘤位置、肌瘤内部回声、肌瘤内血供情况有关。结论经阴道三维彩色多普勒超声所获图像清晰,立体感强,测量瘤体体积准确,并可以显示肌瘤内外的立体血流分布情况,弥补了二维超声的不足,能为子宫动脉栓塞术前后提供有价值的信息。Objective To discuss the clinical application value of transvaginal 3D color Doppler ultrasonography in uterine artery embolization（UAE）.Methods Forty-seven cases of uterine myomas were investigated by transvaginal 3D color Doppler ultrasonography before and after UAE,especially studying the relationship between the location,echo,blood flow distribution of myoma and the change of myoma in volume respectively.Results （1）Blood flow signal in myoma decreased significantly or disappeared after UAE;（2）It had guide effect for UAE to reconstruct the supplying vessels of myoma by three dimensional vessel glass body mode before UAE;（3）UAE has significant effect in near future.In the period from 1 months to 6 months after operation,myoma volume kept on decreasing progressively;（4）The decrease in myoma volume was correlated with the location,echo,and blood flow of myoma.Conclusions Transvaginal 3D color Doppler ultrasonography could provide clear and stereoscopic images,avoid various disturbances,and directly show the myoma and supplying vessels.It is a new noninvasive technique and a good compensation for two dimensional ultrasound.It could be used for guidance to select patient before UAE and detect the curative effect after UAE.

关 键 词：三维超声 彩色多普勒 子宫肌瘤 子宫动脉栓塞术 

分 类 号：R737.33[医药卫生—肿瘤]