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不同分期子宫内膜癌的超声诊断及血流参数分析

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目的 分析不同分期子宫内膜癌的超声诊断及血流参数水平.方法 选取64例子宫内膜癌患者为观察组;另选取同期61例诊断为子宫内膜增生患者为对照组.对比两组患者超声特征及血流参数.结果 观察组患者血流信号比例、子宫内膜增厚程度及子宫内膜回声不均匀比例显著高于对照组(P<0.05).观察组搏动指数(PI)、血流阻力指数(RI)指标低于对照组,收缩期峰值流速(PSV)指标高于对照组(P<0.05).子宫内膜癌不同分期血流参数指标比较,差异有统计学意义(P<0.05).64例患者3年预后死亡10例,存活54例.死亡组患者PI、RI指标低于存活组,PSV指标高于存活组(P<0.05).结论 子宫内膜癌患者的超声血流参数与病理分期及预后有着紧密联系,PI、RI、PSV对患者预后具有较好的预测价值.
Ultrasound diagnosis and analysis of blood flow parameters in different stages of endometrial cancer
Objective To analyze the ultrasound diagnosis and blood flow parameter levels of endometrial cancer in different stages.Methods 64 patients with endometrial cancer were selected as the observation group.Another 61 patients diagnosed with endometrial hyperplasia were selected as control group.The ultrasound characteristics and blood flow parameters of the two groups were compared.Results The proportion of blood flow signal,the degree of endometrial thickening and the proportion of endometrial echo inhomogeneity in observation group were significantly higher than those in control group(P<0.05).The indexes of pulse index(PI)and blood flow resistance index(RI)in observation group were lower than those in control group,and the indexes of peak systolic flow velocity(PSV)in observation group were higher than those in control group(P<0.05).Comparison of blood flow parameters in different stages of endometrial carcinoma,the difference was statistically significant(P<0.05).Of the 64 patients,10 died and 54 survived at 3 years.The indexes of PI and RI in the death group were lower than those in the survival group,and the indexes of PSV were higher than those in the survival group(P<0.05).Conclusion The ultrasound blood flow parameters of endometrial cancer patients are closely related to pathological staging and prognosis,and PI,RI,and PSV have good predictive value for patient prognosis.

Pathological stagingEndometrial cancerUltrasound diagnosisBlood flow parameters

张琴、曾艾

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新疆石河子市人民医院 超声诊断科,新疆 石河子 832000

新疆医科大学第六附属医院 超声科,新疆乌鲁木齐 830002

病理分期 子宫内膜癌 超声诊断 血流参数

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(12)