中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
144-145,146
,共3页
经阴道彩色多普勒超声%弹性成像%子宫恶性肿瘤%早期诊断
經陰道綵色多普勒超聲%彈性成像%子宮噁性腫瘤%早期診斷
경음도채색다보륵초성%탄성성상%자궁악성종류%조기진단
Transvaginal color Doppler ultrasonography%Elasticity imaging%Uterine malignant tumor%Early diagnosis
目的：探讨并分析经阴道彩色多普勒超声（TVCDS）联合弹性成像在子宫恶性肿瘤早期诊断的临床应用。方法：选择2011年1月-2014年1月本院接诊的100例疑似子宫恶性肿瘤患者进行研究，依照随机数字表法，将患者随分为观察组和对照组，每组各50例。观察组采用经阴道彩色多普勒超声联合弹性成像检查手段对患者进行诊断，对照组则单独采用经阴道彩色多普勒超声检查对患者进行诊断。然后对确诊患者的相关指标（子宫内膜厚度、血液显示率和阻力指数）进行检查，最后统计并分析检查结果。结果：观察组患者的总确诊率为47例（94.00%）显著高于对照组的总确诊率41例（82.00%），两组总确诊率比较差异有统计学意义（P<0.05）。再对确诊患者分期分组后进行检查，IA期组患者的子宫内膜厚度显著比IB期组患者低，IA期组患者的血液显示率9例（24.34%）显著比IB期组患者的35例（68.63%）低，IA期组患者的阻力指数也明显低于IB期组患者，两组临床相关检查情况比较差异均有统计学意义（P<0.05）。结论：通过经阴道彩色多普勒超声（TVCDS）联合弹性成像可以使子宫恶性肿瘤的诊断有着更高的准确度，临床应用价值较高。
目的：探討併分析經陰道綵色多普勒超聲（TVCDS）聯閤彈性成像在子宮噁性腫瘤早期診斷的臨床應用。方法：選擇2011年1月-2014年1月本院接診的100例疑似子宮噁性腫瘤患者進行研究，依照隨機數字錶法，將患者隨分為觀察組和對照組，每組各50例。觀察組採用經陰道綵色多普勒超聲聯閤彈性成像檢查手段對患者進行診斷，對照組則單獨採用經陰道綵色多普勒超聲檢查對患者進行診斷。然後對確診患者的相關指標（子宮內膜厚度、血液顯示率和阻力指數）進行檢查，最後統計併分析檢查結果。結果：觀察組患者的總確診率為47例（94.00%）顯著高于對照組的總確診率41例（82.00%），兩組總確診率比較差異有統計學意義（P<0.05）。再對確診患者分期分組後進行檢查，IA期組患者的子宮內膜厚度顯著比IB期組患者低，IA期組患者的血液顯示率9例（24.34%）顯著比IB期組患者的35例（68.63%）低，IA期組患者的阻力指數也明顯低于IB期組患者，兩組臨床相關檢查情況比較差異均有統計學意義（P<0.05）。結論：通過經陰道綵色多普勒超聲（TVCDS）聯閤彈性成像可以使子宮噁性腫瘤的診斷有著更高的準確度，臨床應用價值較高。
목적：탐토병분석경음도채색다보륵초성（TVCDS）연합탄성성상재자궁악성종류조기진단적림상응용。방법：선택2011년1월-2014년1월본원접진적100례의사자궁악성종류환자진행연구，의조수궤수자표법，장환자수분위관찰조화대조조，매조각50례。관찰조채용경음도채색다보륵초성연합탄성성상검사수단대환자진행진단，대조조칙단독채용경음도채색다보륵초성검사대환자진행진단。연후대학진환자적상관지표（자궁내막후도、혈액현시솔화조력지수）진행검사，최후통계병분석검사결과。결과：관찰조환자적총학진솔위47례（94.00%）현저고우대조조적총학진솔41례（82.00%），량조총학진솔비교차이유통계학의의（P<0.05）。재대학진환자분기분조후진행검사，IA기조환자적자궁내막후도현저비IB기조환자저，IA기조환자적혈액현시솔9례（24.34%）현저비IB기조환자적35례（68.63%）저，IA기조환자적조력지수야명현저우IB기조환자，량조림상상관검사정황비교차이균유통계학의의（P<0.05）。결론：통과경음도채색다보륵초성（TVCDS）연합탄성성상가이사자궁악성종류적진단유착경고적준학도，림상응용개치교고。
Objective:To investigate and analyze the transvaginal color doppler ultrasound (TVCDS) combined with elastic imaging in clinical application of early diagnosis of uterine malignant tumors.Method:100 patients suspected of malignant uterine tumor were selected in our hospital from Janaury 2011 to Janaury 2014.According to the random number table method, patients were randomly divided into the observation group and control group,50 cases in each group.The observation group was treated by transvaginal color doppler ultrasound combined with elasticity imaging means for diagnosis.The control group was diagnosed by transvaginal color doppler ultrasound.Then the indexes related to diagnosed patients were examined.Finally,the test results were analyzed.Result:The observation group overall diagnosed 47 cases for 94.00% was significantly higher than the control group of 41 cases for 82.00%,the difference was statistically significant(P<0.05).By restaging of patients diagnosed after the grouping known to be checked:endometrial thickness in patients with stage IA group was significantly lower than that in patients with stage IB group,the rate of blood group of patients with stage IA group 9 cases of 24.34% was significantly lower than the stage IB group 35 cases of 68.63%,stage IA group resistance index was significantly lower than stage IB group,compared clinically relevant inspection of two groups,the differences were statistically significant (P<0.05).Conclusion:By transvaginal color Doppler ultrasound (TVCDS) combined with elastography can make the diagnosis of uterine malignant tumors has a higher degree of accuracy,which has the higher value of clinical application.
