彩色多普勒超声对盆腔瘀血综合征的诊断价值及与临床因素的相关性研究  

The Diagnostic Value of Bolor Doppler Ultrasound in Pelvic Stasis Syndrome and Its Correlation with Clinical Factors

作　　者：陈倩[1] 孙国娟[2] 杨伊斯 彭汇娟[3] 王学梅 CHEN Qian;SUN Guo-juan;YANG Yi-si;PENG Hui-juan;WANG Xue-mei(Department of Gynaecology,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,670072,China;International Ward of Gynecology Department,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,670072,China;Department of Ultrasonography,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,670072,China;Clinical Medicine College of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,610032,China)

机构地区：[1]成都中医药大学附属医院妇科,四川成都670072 [2]成都中医药大学附属医院国际病房妇科病区,四川成都670072 [3]成都中医药大学附属医院超声科,四川成都670072 [4]成都中医药大学临床医学院,四川成都610032

出　　处：《现代生物医学进展》2021年第1期141-145,共5页Progress in Modern Biomedicine

基　　金：四川省科学技术厅科技计划项目(2019YFS0412)。

摘　　要：目的:探讨盆腔瘀血综合征患者彩色多普勒超声的影像学特征及与临床因素的相关性。方法:对112例盆腔瘀血综合征患者行彩色多普勒超声检查,按超声诊断分级Ⅰ级、Ⅱ级、Ⅲ级分为62例、27例、23例,观察彩色多普勒超声的影像学特征,分析静脉内径与病程的相关性,并分析超声诊断分级与临床症状积分、体质量指数(BMI)、妊娠次数、既往工作站立时间的相关性。结果:不同超声诊断分级患者的静脉内径、静脉丛范围和静脉流速差异具有统计学意义(P<0.05)。静脉内径与病程呈正相关(P<0.05),超声诊断分级与临床症状积分、妊娠次数、既往工作站立时间呈显著正相关(P<0.05),与BMI呈负相关(P<0.05)。结论:彩色多普勒超声对盆腔瘀血综合征具有特异性的诊断价值,超声诊断分级、静脉内径与临床因素存在一定的的关联性。Objective: To investigate the imaging characteristics of color doppler ultrasound and its correlation with clinical factors in patients with pelvic stasis syndrome. Methods: 112 cases of pelvic stasis syndrome were examined by color doppler ultrasound.According to the grade I, II and III of ultrasonic diagnosis, 62 cases, 27 cases and 23 cases were classified. The imaging characteristics of color doppler ultrasound were observed. The correlation between venous diameter and disease course were analyzed, and the correlation between ultrasonic diagnosis grades and clinical symptom score, body mass index(BMI), pregnancy frequency, previous working standing time were analyzed. Results: The difference of venous diameter, venous plexus range and venous velocity in patients with different ultrasonic diagnosis grades were statistically significant(P<0.05). The venous diameter was positively correlated with the course of disease(P<0.05), and the ultrasonic diagnosis grades were significantly positively correlated with the clinical symptom score, number of pregnancies, and previous working and standing time(P<0.05), and negatively correlated with BMI(P<0.05). Conclusion: Color doppler ultrasound has a specific diagnostic value for pelvic stasis syndrome, and there are certain correlation between ultrasonic diagnosis grades, venous diameter and clinical factors.

关 键 词：彩色多普勒超声 盆腔瘀血综合征 超声诊断分级 临床因素 

分 类 号：R711.3[医药卫生—妇产科学] R445.1[医药卫生—临床医学]