彩色多普勒超声检测宫颈癌分期及肿瘤直径的临床研究  

Clinical study of cervical cancer and tumor size by color Doppler ultrasonography in patients with different stages of cervical cancer

作　　者：刘燕[1] LIU Yan(Department of Obstetrics Gynecology ,the First Hospital of People＇s Liberation Army, Lanzhou, Gansu 730000, Chin)

机构地区：[1]中国人民解放军第一医院妇产科,兰州730000

出　　处：《检验医学与临床》2018年第10期1405-1407,共3页Laboratory Medicine and Clinic

摘　　要：目的采用彩色多普勒超声检测不同分期宫颈癌患者的宫颈和肿瘤直径,并探讨其与生存率的相关性。方法选取2013年1月至2015年12月该院收治的宫颈癌患者160例,术前检测患者的宫颈和肿瘤直径,将宫颈癌进行分期,并与术后病理宫颈活检结果进行比较,分析不同分期宫颈癌患者的生存率。结果彩色多普勒超声检测宫颈癌患者147例,术后病理检查确诊160例,2种方法的符合率为87.25%,差异有统计学意义(P<0.05)。宫颈直径大于或等于4cm者1年生存率为95.00%,<4cm者1年生存率为98.14%,患者1年生存率与宫颈直径无相关性(r=0.27,P>0.05);宫颈直径大于或等于4cm者3年生存率为86.25%,<4cm者1年生存率为96.25%,患者3年生存率与宫颈直径具有负相关性(r=―0.75,P<0.05)。宫颈肿瘤直径与1年生存率无线性关系(P>0.05),与3年生存率呈负相关关系(r=―0.78,P<0.05)。结论彩色多普勒超声检测不同分期宫颈癌患者的宫颈和肿瘤直径,其方法简便,结果较准确,可帮助临床采取及时、有效的治疗,对提高患者生存率和生存时间具有重要意义。Objective To investigate the cervical size and size of cervical cancer in patients with different stages of cervical cancer by color Doppler ultrasonography,and to investigate the relationship between the results and the survival rate of the patients.Methods A total of 160 patients with cervical cancer from January2013 to December 2015 in our hospital were collected,The cervical size and tumor size were detected by color Doppler ultrasonography in all patients befor and after surgical treatment,according to the record data to determine the stage of cervical cancer,the experimental results and postoperative pathological cervical biopsy results were compared and analyzed in different stages of patients with cervical cancer survival the rate of.Results In 160 patients,Color Doppler ultrasound diagnosis of 147 cases of patients with cervical cancer,160 cases of pathological diagnosis of cervical cancer patients after diagnosis,the coincidence rates of the two methods was 87.25%,two different stages of cervical cancer with rate difference was statistically significant（P〈0.05）.The maximum diameter of the cervical line average value is more than 1 year survival rate of more 4 cm was 95.00%,1 year survival rate was 98.14%in patients with maximum diameter of the cervical line of4 cm.The 1 year survival rate of patients with cervical maximum diameter average value between the non linear relationship（r=0.27,P〈0.05）;the maximum diameter of cervical line average value is more than 4 cm the 3 year survival rate was 86.25%.The 1 year survival rate was 96.25% 4 cm,there is a negative correlation between the 3 year survival rate and the average value of the maximum diameter of cervical line（r=―0.75,P〈0.05）.There was no linear relationship between the size of the cervical mass and the 1 year survival rate（P〉0.05）,and negatively correlated with the 3 year survival rate（r=―0.78,P〈0.05）.Conclusion Color Doppler ultrasound in patients with different stages of cervical carcinoma size and tumor size met

关 键 词：多普勒超声 宫颈癌分期 生存率 

分 类 号：R816[医药卫生—放射医学]