阴道彩色多普勒超声参数变化对宫颈癌患者的临床意义  

Clinical significance of vaginal color doppler ultrasound parameter changes in patients with cervical cancer

作　　者：杨雅詞 高沛然 李茜 YANG Yaci;GAO Peiran;LI Qian(Department of Ultrasonography,Liaoning Provincial Hospital forWomen and Children,Shenyang,Liaoning,110005,China;Central Laboratory,Liaoning Provincial Hospital for women and children,Shenyang,Liaoning,110005,China)

机构地区：[1]辽宁省妇幼保健院暨辽宁省妇女儿童医院超声科,辽宁沈阳110005 [2]辽宁省妇幼保健院暨辽宁省妇女儿童医院中心实验室,辽宁沈阳110005

出　　处：《当代医学》2023年第8期165-167,共3页Contemporary Medicine

摘　　要：目的分析阴道彩色多普勒超声参数变化对宫颈癌患者的临床意义。方法前瞻性选取2018年4月至2020年9月于本院妇产科就诊的84例宫颈癌患者纳入宫颈癌组,84例宫颈上皮内瘤变患者纳入宫颈上皮内瘤变组,另选取同期84例健康女性作为对照组。3组均接受经阴道彩色多普勒超声检查,比较3组宫颈大小、超声血流参数、宫颈回声。结果宫颈癌组宫颈前后径、左右径长于宫颈上皮内瘤变组、对照组,差异有统计学意义(P<0.05);宫颈上皮内瘤变组宫颈前后径、左右径长于对照组,差异有统计学意义(P<0.05)。宫颈癌组彩色像素密度高于宫颈上皮内瘤变组、对照组,收缩期峰值血流速度度(PSV)、阻力指数(RI)低于宫颈上皮内瘤变组、对照组,宫颈上皮内瘤变组彩色像素密度高于对照组,PSV、RI低于对照组,差异有统计学意义(P<0.05)。宫颈癌组低回声比例高于宫颈上皮内瘤变组、对照组,差异有统计学意义(P<0.05);宫颈上皮内瘤变组高回声比例高于宫颈癌组、对照组,差异有统计学意义(P<0.05);宫颈癌组、宫颈上皮内瘤变组正常回声比例低于对照组,差异有统计学意义(P<0.05)。结论经阴道彩色多普勒超声检测可通过判断大小、回声、超声血流参数对宫颈癌诊断提供依据。Objective To analyze the parameter changes and clinical significance of vaginal color doppler ultrasound in patients with cervical cancer.Methods 84 patients with cervical cancer admitted to the Department of Obstetrics and Gynecology of our hospital from April 2018 to September 2020 were prospectively selected to be included in the cervical cancer group,84 patients with cervical intraepithelial neoplasia were included in the cervical intraepithelial neoplasia group,and 84 healthy women during the same period were selected as the control group.All the patients received transvaginal color doppler ultrasonography,and the size of the cervix,ultrasonic blood flow parameters and cervical echo were compared among the three groups.Results The anteroposterior diameter and left or right diameter of cervical cancer group were longer than those of cervical intraepithelial neoplasia group and control group,cervical intraepithelial neoplasia group was longer than control group,and the difference was statistically significant(P<0.05).The color pixel density in cervical cancer group was higher than that in cervical intraepithelial neoplasia group and control group,peak systolic velocity(PSV)and resistance index(RI)were lower than that in cervical intraepithelial neoplasia group and control group,and color pixel density in cervical intraepithelial neoplasia group was higher than that in control group,PSV and RI were lower than that in control group,the difference was statistically significant(P<0.05).The low echo ratio in cervical cancer group was higher than that in cervical intraepithelial neoplasia group and control group,and the difference was statistically significant(P<0.05).The high echo ratio in cervical intraepithelial neoplasia group was higher than that in cervical cancer group and control group,and the difference was statistically significant(P<0.05).The normal echo ratio in cervical cancer group and cervical intraepithelial neoplasia group was lower than that in control group,and the difference was statistically sig

关 键 词：阴道彩色多普勒超声 宫颈癌 宫颈上皮内瘤变 超声血流参数 

分 类 号：R737.33[医药卫生—肿瘤]