子宫恶性苗勒管混合瘤的彩色多普勒超声诊断  

Color Doppler ultrasonography in the diagnosis of malignant mullerian mixed tumor

作　　者：杨萌[1] 姜玉新[1] 戴睛[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院超声诊断科,北京100730

出　　处：《中华超声影像学杂志》2010年第3期241-244,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨子宫恶性苗勒氏管混合瘤（MMMT）的彩色多普勒超声特点及病理学基础。方法回顾性分析10例经病理证实的MMMT的超声表现，总结病变形态学及彩色多普勒血流等超声征象，并探讨其病理学基础。结果单发、边界模糊、不规则形态、蜂窝样结构、囊性变及丰富血流是MMMT较为典型的超声征象；病变超声征象与组织学分化程度及临床分期密切相关。Logistic回归分析提示病灶血流丰富程度与囊性变的程度和类型呈负相关。结论MMMT具有较为特征性的声像图表现，其超声征象与组织病理学特征密切相关。Objective To investigate the correlation of ultrasonographic characteristics and pathologic features for malignant mullerian mixed tumor（MMMT） and determine the diagnostic value of ultrasonography. Methods The ultrasonographic features of 10 MMMTs were analyzed retrospectively and the sonographic findings were compared with histological results and discussed the correlation. Results The morphologie features of US and histology were well associated. Large, solitary lesion, ill-defined irregular shape, honeycombed heterogenous echo-pattern, scattered cystic areas and increased irregular peripheral/internal color flow were typical US findings. Logistic regression analysis showed the type of tumor liquefaction to be the most significant independent predictor of vascularity. Conclusions Ultrasonography is helpful for the diagnosis of MMMT, the ultrasonographic characteristics of MMMT are well correlated to its pathologic features.

关 键 词：超声检查 子宫肿瘤 混合瘤 多普勒 

分 类 号：R737.33[医药卫生—肿瘤]