中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2012年
8期
691-693
,共3页
陈伟%洪玉蓉%陈粉红%罗志艳%李慧文%黄品同
陳偉%洪玉蓉%陳粉紅%囉誌豔%李慧文%黃品同
진위%홍옥용%진분홍%라지염%리혜문%황품동
超声检查%子宫内膜异位症%在位内膜
超聲檢查%子宮內膜異位癥%在位內膜
초성검사%자궁내막이위증%재위내막
Ultrasonography%Endometriosis%Eutopic endometrium
目的 探讨三维能量多普勒超声在子宫内膜异位症患者在位内膜血流分布评估中的应用价值.方法 对44例子宫内膜异位症患者和51例正常对照者在增殖期或者分泌期行三维能量多普勒超声检查,测定子宫在位内膜的内膜容积、血管化指数(VI)、血流指数(FI)、血管化血流指数(VFI),比较两组各参数的差异.结果 病例组增殖内膜VI为(5.499±5.153)％,FI为(28.832±4.279)dB,VFI为(1.769±1.981)dB,均高于对照组增殖期内膜VI[(1.135±1.333)％,P＜0.001]、FI[(25.544±3.465) dB,P=0.006]、VFI[(0.321±0.397)dB,P=0.002].病例组分泌内膜VI为(8.693±5.940)％,FI为(30.689±3.632)dB,VFI为(2.753±2.044) dB,均高于对照组分泌期内膜VI[(1.014±0.968)％,P＜0.001]、FI[(24.748±3.811)dB,p＜0.001]、VFI[(0.27±0.293) dB,P=0.001].病例组与对照组增殖期内膜容积、分泌期内膜容积相比差异均无明显统计学意义(P =0.108和0.068).结论 三维能量多普勒超声可评估子宫内膜异位症患者在位内膜血流分布情况,为抗血管生成治疗提供临床依据.
目的 探討三維能量多普勒超聲在子宮內膜異位癥患者在位內膜血流分佈評估中的應用價值.方法 對44例子宮內膜異位癥患者和51例正常對照者在增殖期或者分泌期行三維能量多普勒超聲檢查,測定子宮在位內膜的內膜容積、血管化指數(VI)、血流指數(FI)、血管化血流指數(VFI),比較兩組各參數的差異.結果 病例組增殖內膜VI為(5.499±5.153)％,FI為(28.832±4.279)dB,VFI為(1.769±1.981)dB,均高于對照組增殖期內膜VI[(1.135±1.333)％,P＜0.001]、FI[(25.544±3.465) dB,P=0.006]、VFI[(0.321±0.397)dB,P=0.002].病例組分泌內膜VI為(8.693±5.940)％,FI為(30.689±3.632)dB,VFI為(2.753±2.044) dB,均高于對照組分泌期內膜VI[(1.014±0.968)％,P＜0.001]、FI[(24.748±3.811)dB,p＜0.001]、VFI[(0.27±0.293) dB,P=0.001].病例組與對照組增殖期內膜容積、分泌期內膜容積相比差異均無明顯統計學意義(P =0.108和0.068).結論 三維能量多普勒超聲可評估子宮內膜異位癥患者在位內膜血流分佈情況,為抗血管生成治療提供臨床依據.
목적 탐토삼유능량다보륵초성재자궁내막이위증환자재위내막혈류분포평고중적응용개치.방법 대44례자궁내막이위증환자화51례정상대조자재증식기혹자분비기행삼유능량다보륵초성검사,측정자궁재위내막적내막용적、혈관화지수(VI)、혈류지수(FI)、혈관화혈류지수(VFI),비교량조각삼수적차이.결과 병례조증식내막VI위(5.499±5.153)％,FI위(28.832±4.279)dB,VFI위(1.769±1.981)dB,균고우대조조증식기내막VI[(1.135±1.333)％,P＜0.001]、FI[(25.544±3.465) dB,P=0.006]、VFI[(0.321±0.397)dB,P=0.002].병례조분비내막VI위(8.693±5.940)％,FI위(30.689±3.632)dB,VFI위(2.753±2.044) dB,균고우대조조분비기내막VI[(1.014±0.968)％,P＜0.001]、FI[(24.748±3.811)dB,p＜0.001]、VFI[(0.27±0.293) dB,P=0.001].병례조여대조조증식기내막용적、분비기내막용적상비차이균무명현통계학의의(P =0.108화0.068).결론 삼유능량다보륵초성가평고자궁내막이위증환자재위내막혈류분포정황,위항혈관생성치료제공림상의거.
Objective To evaluate the changes in eutopic endometrial vascularity of endometriosis using three-dimensional power Doppler ultrasound.Methods Forty-four women with endometriosis and 51 normal controls were studied by three-dimensional power Doppler ultrasound.Eutopic endometrial volume,vascularization index (VI),flow index (FI) and vascularization flow index (VFI) were calculated using VOCAL software.Results In proliferative phase,the mean VI was (5.499 ± 5.153)％ in patients with endometriosis and ( 1.135 ± 1.333) ％ in normal controls ( P ＜0.001 ),the mean FI was (28.832 ± 4.279)dB in patients with endometriosis and (25.544 ± 3.465)dB in normal controls ( P =0.006),the VFI was (1.769 ± 1.981 )dB in patients with endometriosis and (0.321 ± 0.397)dB in normal controls( P =0.002).In secretory phase,the mean VI was (8.693 ± 5.940) ％ in patients with endometriosis and ( 1.014±0.968)％ in normal controls ( P ＜0.001); the mean FI was (30.689 ± 3.632)dB in patients with endometriosis and (24.748 ± 3.811 )dB in normal controls( P ＜0.001 ),the VFI was (2.753 ± 2.044)dB in patients with endometriosis and (0.27 ± 0.293)dB in normal controls( P =0.001 ).Both in proliferative and secretory phase,no significant difference in endometrial volume between the two groups was observed ( P =0.108 and 0.068,respectively).Conclusions Three-dimensional power ultrasound provides a useful tool to investigate eutopic endometrial vascularization of endimetriosis.
