三维彩色血管能量成像与血流定量参数测定对诊断子宫内膜病变的价值  

The Clinic Comparative Study on 3D Color Power Angiography and Quantitative Blood Flow Parameters in the Differentiation of Benign and Malignant Endometriai Disease

作　　者：郭兰萍[1] 马丽丽[2] 代培凤[3] 

机构地区：[1]潍坊医学院妇产科学教研室,山东潍坊261042 [2]潍坊医学院附属潍坊市人民医院妇科 [3]潍坊医学院附属潍坊市人民医院遗传超声科

出　　处：《潍坊医学院学报》2010年第1期1-3,共3页Acta Academiae Medicinae Weifang

摘　　要：目的 探讨三维彩色血管能量成像（three-dimensional color power angiography,3D-CPA）与血流定量参数测定对鉴别子宫内膜癌与子宫内膜良性病变的临床价值.方法 对2009年3月～2009年8月,潍坊市人民医院62例临床怀疑为子宫内膜病变的患者行3D-CPA及其血流指数定量检测,并与最终病理结果对比观察.结果 多数子宫内膜癌彩色多普勒能量图（CDPI）呈丰富及较丰富,子宫内膜良性病变大多CDPI呈丰富. FI（血流指数）,VI（血管指数）良恶性组比较,差异有显著性;病变部位体积（V）良恶性组比较,差异有显著性,而VFI（血管-血流指数）良恶性组比较,差异无显著性.结论 通过对病变子宫内膜进行3D-CPA及其血流定量检测,并结合宫内声像图特点,可为子宫内膜癌与子宫内膜良性病变鉴别提供有价值的信息.Objective To investigate the three-dimensional color power angiography（3D-CPA） and the quantitative determination of blood flow parameters in the identification of benign and malignant endometrial diseases. Methods Sixty-two patients suspected for endometrial lesions in clinic underwent 3D-CPA and quantitative detection of blood flow index. The above two examination results and the final pathological results were observed comparatively. Results The majority of endometrial cancer CDPI were more abundant and rich, but it was not rich in benign ones. There was significant difference between benign and malignant group in FI, Ⅵ and lesion volume （Ⅴ ） , and no difference in VFI. Conclusion 3D-CPA, quantitative detection of blood flow, combined with intrauterine sonography can provide valuable information for endometrial carcinoma and benign endometrial lesions.

关 键 词：三维彩色血管能量成像 血流指数定量测定子宫内膜癌 

分 类 号：R71[医药卫生—妇产科学]