彩色多普勒超声对卵巢子宫内膜异位囊肿的诊断及临床价值  

Diagnosis and clinical value of color Doppler ultrasonography in ovarian endometriosis cyst

作　　者：王红雨[1] 徐小花 朱小红 徐萍 Wang Hongyu;Xu Xiaohua;Zhu Xiaohong;Xu Ping(Department of Ultrasound,Danyang Maternal and Child Health Care Hospital,Danyang 212300,China)

机构地区：[1]丹阳市妇幼保健院超声科,江苏丹阳212300

出　　处：《实用妇科内分泌电子杂志》2024年第14期74-76,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨彩色多普勒超声对卵巢子宫内膜异位囊肿的诊断及临床价值。方法选择卵巢子宫内膜异位囊肿患者与健康体检者各48例,分别设为囊肿组与健康组,均接受彩色多普勒超声检查,比较两组超声诊断结果,并探究囊肿组治疗效果。结果囊肿组阻力指数(RI)、搏动指数(PI)、动脉收缩/舒张末期血流速度(S/D)均高于健康组(P<0.05)。彩色多普勒超声对子宫内膜异位囊肿的诊断准确性为96.88%、敏感性为93.75%、特异性为100%。子宫内膜异位囊肿患者术后RI、PI、SD均低于术前(P<0.05)。术后,RI<0.8组妊娠率高于RI≥0.8组(P<0.05)。结论卵巢子宫内膜异位囊肿患者接受彩色多普勒超声检查,能有效识别子宫动脉血流改变,诊断效能高,有利于评估手术治疗效果,并可预测患者术后妊娠情况。Objective To evaluate the diagnosis and clinical value of color Doppler ultrasonography in ovarian endometriosis cyst.Methods 48 patients with ovarian endometriosis cyst and 48 healthy subjects were selected as the cyst group and the healthy group,respectively,and all underwent color Doppler ultrasonography.The results of ultrasound diagnosis were compared between the two groups,and the therapeutic effects of the cyst group were explored.Results The resistance index(RI),pulsation index(PI)and end-systolic/diastolic blood flow velocity(S/D)in the cyst group were higher than those in the healthy group(P<0.05).The diagnostic accuracy,sensitivity and specificity of color Doppler ultrasound for endometrial cysts were 96.88%,93.75% and 100%.The postoperative RI,PI and S/D of patients with endometriosis cyst were lower than those before operation(P<0.05).After operation,the pregnancy rate in RI<0.8 group was higher than that in RI≥0.8 group(P<0.05).Conclusion Color Doppler ultrasonography can effectively identify the changes of uterine artery blood flow in patients with ovarian endometriosis cyst,and has high diagnostic efficiency,which is conducive to evaluating the effect of surgical treatment and predicting the pregnancy status of patients after surgery.

关 键 词：彩色多普勒超声 卵巢子宫内膜异位囊肿 诊断效能 

分 类 号：R711.71[医药卫生—妇产科学]