彩色多普勒超声对子宫绒毛膜癌的诊断价值

Value of Color Doppler Ultrasound in Diagnosis Chorionic Carcinoma of Uterine

目的探讨彩色多普勒超声对子宫绒毛膜癌的诊断价值。方法18例子宫绒毛膜癌患者均行彩色多普勒超声检查。结果二维图像特征:所有患者子宫不规则增大,形态饱满,宫壁不均匀增厚,有不规则的点状、团状或索条状回声。彩色血流显示:病灶区可见丰富血流信号,五彩镶崁呈"马赛克"征或"彩球"征。频谱多普勒显示:呈典型的收缩期中、高速低阻型频谱,RI 0.18～0.45,平均0.33。结论彩色多普勒超声对子宫绒毛膜癌具有较高诊断价值,为妇科早期诊断子宫绒毛膜癌提供了可靠的依据。

Objective To explore the value of color doppler ultrasound in diagnosis of chorionic carcinoma of uterine.Methods Eighteen cases of chorionic carcinoma of uterine were examined with color doppler ultrasonography.Results Two-dimensional images features：All cases showed anomalies,morphological full,irregular enhancement of uterine,morphologic fullness,intramuraly heterogeneous thickened of uterine,and the irregular punctate,bolus or funiculus stripe echo.Color blood flow display：the visible prolific blood flow signal of focal region,emerge ＂mosaic syndrome＂ or the ＂color ball syndrome＂ in the colourful mosaic of a disease.Spectrum doppler display：emerge typical systol middle,high speed low resistance type spectrum.RI 0.18 to 0.45,average 0.33.Conclusion The color doppler ultrasound may have high diagnostic value for chorionic carcinoma of uterine,and it provides a reliable basis in early diagnosis with chorionic carcinoma of uterine.