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彩色多普勒超声、超声造影在宫颈癌分期诊断中的价值分析

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目的:评估彩色多普勒超声和超声造影在宫颈癌分期中的诊断效能及准确性.方法:回顾性分析2021年1月-2024年1月中国人民解放军联勤保障部队第九○○医院收治的160例宫颈癌患者的临床资料.所有患者均进行彩色多普勒超声检查、超声造影检查,统计并比较不同宫颈癌分期患者阴道超声血流灌注定量参数(上升时间、达峰时间、峰值强度、平均渡越时间).比较两种检测方式对宫颈癌患者T分期、N分期级病理分期的准确性.结果:随着患者宫颈癌临床分期由Ⅰ期到Ⅳ期,峰值强度呈升高趋势,差异有统计学意义(t=39.019,P<0.05);超声造影检测宫颈癌T分期中T1、T2期准确率高于彩色多普勒超声检查,超声造影检测宫颈癌N分期中N0期准确率高于彩色多普勒超声检查,在对于宫颈癌分期检测中,超声造影及彩色多普勒超声检查联合检测准确率更高.结论:彩色多普勒超声和超声造影各有其独特优势,在宫颈癌的分期诊断中具有重要的临床价值.两种技术的结合使用能够为宫颈癌的准确分期提供更多的信息,从而指导更精确的治疗策略.
Value of Color Doppler Ultrasound and Contrast-Enhanced Ultrasound in the Staging Diagnosis of Cervical Cancer
Objective:To assess the diagnostic efficacy and accuracy of color Doppler ultrasound and contrast-enhanced ultrasound in the staging of cervical cancer.Methods:This retrospective study included 160 cervical cancer patients treated in the Joint Logistics Support Force's 900th Hospital from January 2021 to January 2024.All subjects underwent color Doppler ultrasound and contrast-enhanced ultrasound examinations.Quantitative parameters of vaginal ultrasound blood perfusion(rise time,peak time,peak intensity,mean transit time and microvascular density)were statistically compared across different stages of cervical cancer.The accuracy of both techniques in determining T stage,N stage,and pathological stage of cervical cancer was compared.Results:With the clinical stage of cervical cancer from Ⅰ to Ⅳ,the peak intensity showed an increasing trend,and the difference was statistically significant(t=39.019,P<0.05).The accuracy of CEUS in detecting T1 and T2 stages of cervical cancer in T stage was higher than that of color Doppler ultrasound,and the accuracy of CEUS in detecting N0 stage of cervical cancer in N stage was higher than that of color Doppler ultrasound.In cervical cancer stage detection,the combined detection accuracy of CEUS and color Doppler ultrasound was higher.Conclusion:Color Doppler ultrasound and contrast-enhanced ultrasound each have unique advantages and hold significant clinical value in the staging diagnosis of cervical cancer.The combined application of these technologies provides more information for accurate staging,thereby guiding more precise treatment strategies.Therefore,the integrated use of both techniques is recommended in the staging diagnosis of cervical cancer.

Color Doppler ultrasoundContrast-enhanced ultrasoundCervical cancerStaging diagnosis

林丽仙、江丽

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中国人民解放军联勤保障部队第九○○医院,福建 福州 350001

彩色多普勒超声 超声造影 宫颈癌 分期诊断

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(23)