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本文报告我院近年来经手术、病理证实11例内膜型子宫内膜癌,术前经彩色多普勒超声诊断,目的在于探讨彩色多普勒超声对该疾病的诊断价值。 资料和方法 本文11例内膜型子宫内膜癌(IEA)患者为绝经后妇女,年龄46～57岁,平均年龄51.5岁。11例内膜型子宫内膜癌均经手术、病理证实。临床表现为绝经后不规则阴道出血,体征无特殊发现。 应用美国Acuson 128XP/10_c型电脑彩超仪,探头频率4MHz。首先采用二维超声探测子宫大小,并仔细观察子宫内膜及宫壁等,测量子宫内膜厚度以纵切子宫测其内膜厚度(包括前后内膜),继之使用彩色多普勒超声观察病变内膜血流分布情况,显示彩色血流信号并记录多普勒频谱及计算阻力指数(RI),若病灶内未能清晰显示血流信号,则用脉冲多普勒作仔细扫查。
In this paper, 11 cases of endometrial endometrial carcinoma confirmed by operation and pathology in our hospital in recent years were diagnosed by color Doppler ultrasonography preoperatively. The purpose of this study was to explore the diagnostic value of color Doppler ultrasound in this disease. Materials and Methods In this paper, 11 patients with endometrial cancer (IEA) are postmenopausal women, aged 46-57 years, with an average age of 51.5 years. 11 cases of endometrial carcinoma were surgically confirmed by pathology. Clinical manifestations of irregular vaginal bleeding after menopause, signs no special findings. The United States Acuson 128XP / 10_c computer color ultrasound instrument, the probe frequency 4MHz. First, using two-dimensional ultrasound to detect the size of the uterus, and careful observation of the endometrium and uterine wall, etc., to measure the thickness of the uterus to cut the uterus measured intima thickness (including anteroposterior and endometrial), followed by the use of color Doppler ultrasound Lesions in the distribution of endocardial blood flow, showing color flow signals and record Doppler spectrum and calculate the resistance index (RI), if the lesion can not clearly show the blood flow signal, the pulse Doppler for careful scanning.