CAJ | 학술논문

目的探讨经阴道彩色多普勒超声(transvaginal color Doppler ultrasound,TV-CDS)检测卵巢内膜样囊肿患者卵巢间质血流变化的临床价值.方法应用TV-CDS观察60例卵巢内膜样囊肿患者和60例正常妇女卵巢间质动脉血流显像,测定血流动力学参数,进行对比分析.结果卵巢内膜样囊肿卵巢间质动脉血流不丰富,多呈星点状;动脉频谱呈高阻型,阻力指数(resistance index,RI)、搏动指数(pulsatility index,PI)、动脉收缩期峰值流速/舒张末期血流速度值(systolic/diastolic,S/D)均高于正常值,差异有统计学意义(P<0.01).病程>1年且囊肿直径≥5 cm是卵巢内膜样囊肿患者卵巢间质动脉血流不易显示的危险因素,其血流显示区域的不同与病程、囊肿直径、囊肿类型(单房或多房)有关(P<0.05).结论 TV-CDS作为一项无创、方便、灵敏的检查方法可用于评价卵巢内膜样囊肿患者的卵巢间质血流变化,提示卵巢内膜样囊肿的病理状态及其对卵巢间质组织的损伤,利于诊治.
목적 탐토경음도채색다보륵초성(transvaginal color Doppler ultrasound,TV-CDS)검측란소내막양낭종환자란소간질혈류변화적림상개치.방법 응용TV-CDS관찰60례란소내막양낭종환자화60례정상부녀란소간질동맥혈류현상,측정혈류동역학삼수,진행대비분석.결과 란소내막양낭종란소간질동맥혈류불봉부,다정성점상;동맥빈보정고조형,조력지수(resistance index,RI)、박동지수(pulsatility index,PI)、동맥수축기봉치류속/서장말기혈류속도치(systolic/diastolic,S/D)균고우정상치,차이유통계학의의(P<0.01).병정>1년차낭종직경≥5 cm시란소내막양낭종환자란소간질동맥혈류불역현시적위험인소,기혈류현시구역적불동여병정、낭종직경、낭종류형(단방혹다방)유관(P<0.05).결론 TV-CDS작위일항무창、방편、령민적검사방법가용우평개란소내막양낭종환자적란소간질혈류변화,제시란소내막양낭종적병리상태급기대란소간질조직적손상,리우진치.
Objective To explore the clinical value of transvaginal color Doppler ultrasound(TV-CDS)in the detection of blood flow changes within the ovarian stromal artery in patients with ovarian endometriosis.Methods Blood flow indices within the ovarian stromal artery were measured by TV-CDS in 60 patients and60 normal controls.Results In ovarian endometriosis group,TV-CDS examination showed the color signal pattern was dot-like with high-resistance ovarian stromal arterial flow which manifested significant higher resistance index(RI),pulsatility index(PI)and systolic/diastolic(S/D)ratio than those in normal group(P<0.01).Analysis on clinicopathologic data showed that cystic history and diameter were risk factors affecting the absence of ovarian stromal blood signal,while cystic history,diameter and category were associated with the significant difference of blood flow display area(P<0.05).Conclusions TV-CDS can be used as a non-invasive,convenient and sensitive method for assessing blood flow changes within the ovarian stromal artery,indicating ovarian interstitial damage as well as pathological conditions of ovarian endometriosis that contributes to clinical diagnosis and treatment.