三维能量多普勒超声评估子宫内膜异位症患者在位内膜血流分布  

Assessment of changes in eutopic endometrial vascularity of endometriosis using three-dimensional power Doppler ultrasound

作　　者：陈伟[1] 洪玉蓉[1] 陈粉红[1] 罗志艳[1] 李慧文[1] 黄品同[1] 

机构地区：[1]浙江大学医学院附属第二医院超声科,杭州310009

出　　处：《中华超声影像学杂志》2012年第8期691-693,共3页Chinese Journal of Ultrasonography

基　　金：浙江省人口和计划生育科技项目（2009,16号）

摘　　要：目的探讨三维能量多普勒超声在子宫内膜异位症患者在位内膜血流分布评估中的应用价值。方法对44例子宫内膜异位症患者和51例正常对照者在增殖期或者分泌期行三维能量多普勒超声检查，测定子宫在位内膜的内膜容积、血管化指数（VI）、血流指数（FI）、血管化血流指数（VFI），比较两组各参数的差异。结果病例组增殖内膜VI为（5．499±5．153）％，FI为（28．832±4．279）dB，VFI为（1．769±1．981）dB，均高于对照组增殖期内膜VIF（1．135±1．333）％，P〈0．001]、FI[（25．544±3．465）dB，P=0．006]、VFI[（O．321±0．397）dB，P=0．002]。病例组分泌内膜VI为（8．693±5．940）％，FI为（30．689±3．632）dB，VFI为（2．753±2．044）dB，均高于对照组分泌期内膜VII（1．014±0．968）％，P〈0．001]、FI[（24．748±3．811）dB，P〈0．001]、VFI[（0．27±0．293）dB，P=0．001]。病例组与对照组增殖期内膜容积、分泌期内膜容积相比差异均无明显统计学意义（P=0．108和0．068）。结论三维能量多普勒超声可评估子宫内膜异位症患者在位内膜血流分布情况，为抗血管生成治疗提供临床依据。Objective To evaluate the changes in eutopic endometrial vascularity of endometriosis using three-dimensional power Doppler ultrasound. Methods Forty-four women with endometriosis and 51 normal controls were studied by three-dimensional power Doppler ultrasound. Eutopic endometrial volume, vascularization index （VI）, flow index （FI） and vascularization flow index （VFI） were calculated using VOCAL software. Results In proliferative phase, the mean VI was （5. 499 ± 5. 153）% in patients with endometriosis and （1. 135 ± 1. 333） % in normal controls （ P〈0. 001） ,the mean FI was （28,832 ± 4. 279） dB in patients with endometriosis and （25. 544 ±3. 465）dB in normal controls （ P = 0. 006）, the VFI was （1. 769 ± 1.981）dB in patients with endometriosis and （0. 321 ± 0. 397）dB in normal controls（ P = 0. 002）. In secretory phase, the mean VI was （8. 693 ± 5. 940） % in patients with endometriosis and （1. 014 ± 0.968）% in normal controls （P〈0.001）; the mean FI was （30.689 ± 3.632）dB in patients with endometriosis and （24. 748 ± 3.811 ）dB in normal controls（ P〈0. 001）, the VFI was （2. 753 ± 2. 044）dB in patients with endometriosis and （0.27 ± 0. 293）dB in normal controls（ P = 0.001 ）. Both in proliferative and secretory phase, no significant difference in endometrial volume between the two groups was observed （ P = 0. 108 and 0. 068,respectively）. Conclusions Three-dimensional power ultrasound provides a useful tool to investigate eutopic endometrial vascularization of endimetriosis.

关 键 词：超声检查 子宫内膜异位症 在位内膜 

分 类 号：R711.71[医药卫生—妇产科学]