基于经阴道彩超血流显像的子宫肌瘤诊断分析及HIFU疗效评价

doi:10.7517/issn.1674-0475.220312

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (4): 907-911.DOI: 10.7517/issn.1674-0475.220312

基于经阴道彩超血流显像的子宫肌瘤诊断分析及HIFU疗效评价

何文凤¹, 胡玉新¹, 唐淑琼², 黎金钱¹

1. 深圳市罗湖区妇幼保健院妇科, 广东深圳 518019;
2. 泸州市中医院妇产科, 四川泸州 646000

收稿日期:2022-03-10 发布日期:2022-07-09
通讯作者: 黎金钱

Diagnostic Analysis of Uterine Fibroids Based on Transvaginal Color Doppler Ultrasonography and Effect Evaluation of HIFU

HE Wenfeng¹, HU Yuxin¹, TANG Shuqiong², LI Jinqian¹

1. Department of Gynecology, Maternal and Child Health Hospital of Luohu District, Shenzhen 518019, Guangdong, P. R. China;
2. Department of Obstetrics and Gynecology, Luzhou Hospital of Traditional Chinese Medicine, Luzhou 646000, Sichuan, P. R. China

Received:2022-03-10 Published:2022-07-09

摘要/Abstract

摘要： 探究基于经阴道彩超血流显像的子宫肌瘤诊断分析以及评价高强度聚焦超声（HIFU）治疗疗效为主要目的。以133例疑似子宫肌瘤的女性患者作为研究对象，55例确诊的女性患者作为观察组，其余78例健康人群作为对照组。对观察组患者进行经阴道彩超血流显像来观察患者的舒张末期血流速度（ED）、收缩期峰值血流速度（PS）、阻力指数（RI），以及血流参数与疾病严重程度的相关性。研究结果发现，与对照组相比，观察组患者ED、PS、RI较高（P<0.05）；轻度患者ED、PS、RI低于中重度患者（P<0.05）；与ED、PS、RI单一参数诊断相比，联合诊断对子宫肌瘤诊断敏感度和准确度均较高（P<0.05）；与HIFU治疗后1个月相比，治疗后3个月、6个月瘤体直径均缩小（P<0.05），治疗总有效率为96.36%。阴道彩超血流显像对子宫肌瘤患者诊断价值较高，经HIFU治疗后，患者肌瘤直径明显缩小，临床效果较为显著。

关键词: 阴道彩超血流显像, 子宫肌瘤, 高强度聚焦超声, 临床疗效

Abstract: The main purpose of this study was to explore the diagnostic analysis of uterine fibroids based on transvaginal ultrasonography and to evaluate the therapeutic effect of high intensity focused ultrasound (HIFU). A total of 133 female patients suspected of uterine fibroids were selected as the research object, 55 confirmed cases as the observation group, and the remaining 78 normal-health people as the control group. Transvaginal color ultrasound blood flow imaging was performed to observe the end diastolic blood flow velocity (ED), peak systolic blood flow velocity (PS), resistance index (RI), and the correlation between blood flow parameters and disease severity. The results showed that compared with the control group, ED, PS, RI were higher in observation group (P<0.05). The ED, PS, RI of mild patients were lower than those of moderate and severe patients (P<0.05). Compared with ED, PS and RI, the combined diagnosis had higher sensitivity and accuracy in the diagnosis of uterine fibroids (P<0.05). Compared with 1 month after HIFU treatment, the tumor diameters were both reduced at 3 and 6 months after HIFU treatment (P<0.05), and the total effective rate was 96.36%. Vaginal color ultrasonography has a high diagnostic value for patients with uterine fibroids. After high-intensity focused ultrasound (HIFU) treatment, the diameter of uterine fibroids reduce significantly, and the clinical effect is significant.

Key words: vaginal color ultrasound for blood flow imaging, uterine fibroids, high-intensity focused ultrasound, clinical efficacy

何文凤, 胡玉新, 唐淑琼, 黎金钱. 基于经阴道彩超血流显像的子宫肌瘤诊断分析及HIFU疗效评价[J]. 影像科学与光化学, 2022, 40(4): 907-911.

HE Wenfeng, HU Yuxin, TANG Shuqiong, LI Jinqian. Diagnostic Analysis of Uterine Fibroids Based on Transvaginal Color Doppler Ultrasonography and Effect Evaluation of HIFU[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 907-911.

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基于经阴道彩超血流显像的子宫肌瘤诊断分析及HIFU疗效评价

Diagnostic Analysis of Uterine Fibroids Based on Transvaginal Color Doppler Ultrasonography and Effect Evaluation of HIFU

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