多普勒彩色血流成像与子宫肿块的良恶性判断

Clinical analysis on the uterine tumours through the coloured Doppler imaging

目的探讨彩色多普勒超声检查在诊断鉴别子宫肿瘤良恶性方面的临床应用价值。方法选取2008年3月一2010年1月就诊病例96例，其中48例健康妇女作为对照组和48例子宫肿瘤患者作为肿瘤组，对其进行了子宫、肿瘤血流成像分析。结果肿瘤组患者无论良恶性肿瘤均存在有较显著新生血管血流；肿瘤组子宫血流明显增加。对照组子宫动脉血流PI值和RI值为（1．81±0．56）、（1．782±0．58）;肿瘤组为（1．39±0．65）、（1．235±0．49）;良性肿瘤组为（1．5301±0．259）、（1．520±0．427）;恶性肿瘤组为（O．9871±0．368）、（0．611±0．395）。肿瘤组子宫动脉血流参数与对照组相比以及肿瘤组良恶性肿瘤子宫动脉血流参数相比，其PI值与RI值差异有显著性（P〈0．01）。结论彩色多普勒血流成像分析有助于子宫肿瘤的检测诊断以及良、恶性肿瘤的辨别。

Objective To investigate the application value of coloured Doppler technology in judging benign or malignant uterine tumours. Methods We selected 48 normal fertile women who were put in the control group and 48 women with tumour in the tumour group, and analyzed the arterial blood flow of the uterus and tumours. Results The results showed that, the new blood vessels were observed remarkably in both of the carcinoid and malignancy, and the arterial blood flow of the uterine with tumour increased. The PI value and RI value of uterine arterial blood were （1.81± 0.56） and （1.782 ± 0.58） in the control group, （1.39 ± 0.65） and （1.235 ± 0.49） in the tumour group, （1.5301 ± 0.259） and （1.520±0. 427） in the benign tumour group, （0.9871 ± 0.368） and （0.611 ± 0.395） in the malignant tumour group. There were significant differences in the arterial blood PI and RI between the tumour group and the contrast group, and also between the benign group and malignant group （P〈 0.01）. Conclusion The Coloured Doppler imaging function helpfully improve the diagnosis and judgement of benign and malignant uterine tumours.