超声评估病灶内微血管情况在宫颈癌间质浸润深度及腹腔镜手术治疗预后判断中的指导意义  

Value of Ultrasound Assessment of Tumor Microvascular Characteristics in Cervical Cancer in Determining the Depth of Interstitial Infiltration and Prognosis of Laparoscopic Treatment

作　　者：李九霞 石洁 Li Jiuxia;Shi Jie(Luoyang Maternal and Child Health Hospital Luoyang,Henan 471000)

机构地区：[1]洛阳市妇幼保健院,河南洛阳471000

出　　处：《辽宁医学杂志》2023年第3期16-18,共3页Medical Journal of Liaoning

摘　　要：目的 分析超声评估病灶内微血管情况在宫颈癌间质浸润深度及腹腔镜手术治疗预后判断中的指导意义。方法 选择医院2019年10月至2021年12月诊治的宫颈癌患者80例。超声评估病灶内微血管情况,问卷调查患者年龄、病程,查看患者病案信息了解肿瘤类型、宫旁浸润、脉管累及、淋巴结转移情况等。结果 经阴道彩色多普勒超声检查80例患者,其中有43例患者为微血管血流丰富,发生率为53.75%。微血管血流丰富与宫旁浸润、脉管累及、间质浸润深度、淋巴结转移、病灶大小有关(P<0.05),与临床分期、病理类型无关(P>0.05)。多因素Cox回归分析发现,血管血流丰富与宫旁浸润、脉管累及、间质浸润深度、淋巴结转移、病灶大小是颈癌微血管血流丰富独立影响因素(P<0.05)。宫颈癌微血管血流丰富患者预后不佳率高于血管血流不丰富患者(χ^(2)=7.482,P<0.05)。结论 超声评估病灶内微血管内血流情况影响宫颈癌间质浸润深度、淋巴结转移、病灶大小及腹腔镜手术治疗预后等,建议密切关注。Objective To evaluate the value of ultrasound assessment of tumor microvascular characteristics in cervical cancer in determining the depth of interstitial infiltration and prognosis of laparoscopic treatment.Methods A sample of 80 patients with cervical cancer in our hospital from October 2019 to December 2021 were enrolled.The tumor microvascular characteristics was analyzed via ultrasound examination,and the data including age,course of disease,tumor type,parametrial infiltration,vascular involvement and lymph node metastasis were collected using questionnaire and medical records.Results Transvaginal colour Doppler ultrasound revealed rich microvascular blood flow in 43 of 80 patients,with an incidence of 53.75%.The richness of microvascular blood flow was related to parametrial infiltration,vascular involvement,depth of interstitial infiltration,lymph node metastasis and lesion size(P<0.05),but had no correlation with the clinical stage and pathological type(P>0.05).Multivariate Cox regression analysis showed that vascular blood flow richness,parametrial infiltration,vascular involvement,interstitial infiltration depth,lymph node metastasis and lesion size were the independent influencing factors affecting the microvascular blood flow richness in cervical cancer(P<0.05).The poor prognosis rate of cervical cancer patients with rich microvascular blood flow was higher than that of patients without rich vascular blood flow(χ^(2)=7.482,P<0.05).Conclusion The tumor microvascular characteristics in ultrasound are closely correlated with the depth of interstitial infiltration,lymph node metastasis,lesion size and prognosis of laparoscopic surgery in cervical cancer.

关 键 词：超声 病灶 微血管血流 丰富 宫颈癌 间质浸润深度 预后 

分 类 号：R737.33[医药卫生—肿瘤]