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目的:探讨腔内超声多模式检查在宫颈癌放化疗效果评估中的应用价值。方法:对17例晚期宫颈癌患者进行了治疗前与治疗后的多模式超声检查,比较治疗前后的影像差异;结果:17例病例放化疗后宫颈体积缩小,形态恢复正常,治疗前后宫颈大小有显著差异(P<0.05),达到完全缓解的评价标准;治疗后宫颈硬度减低,宫颈弹性评分下降:治疗前15例宫颈弹性评分为5分,2例弹性评分为4分,治疗后17例宫颈弹性评分均减低,评分为3分;17例患者治疗前宫颈超声造影增强时间早于宫体,增强强度高于宫体,消退速度快于宫体,治疗后超声造影表现为与宫体肌层同步强化,无异常灌注区,治疗前后宫颈超声造影表现差异明显。结论:多模式超声检查的联合应用可以为宫颈癌放化疗疗效的临床评估提供更多有价值的信息,超声造影更具价值。
Objective: To investigate the value of multi-mode intracavitary ultrasound in the evaluation of radiotherapy and chemotherapy in cervical cancer. Methods: Seventeen patients with advanced cervical cancer were treated with multimodal ultrasound before and after treatment. The differences of the images before and after treatment were compared. Results: In the 17 cases, the cervical volume was reduced and the morphology returned to normal after radiotherapy and chemotherapy. The size of the cervix before and after treatment (P <0.05), and reached the standard of complete remission. After treatment, the cervical stiffness decreased and the cervical elasticity score decreased. Before treatment, 15 cases had cervical elastic score of 5, 2 cases had elastic score of 4, after treatment, 17 cases of cervical Elasticity score was reduced, the score was 3; 17 patients before treatment, cervical contrast enhanced earlier than the uterine body, enhanced intensity higher than the uterine body, dissipated faster than the uterine body, after treatment, contrast-enhanced ultrasound and the uterine muscle Synchronization enhancement, no abnormal perfusion area, before and after treatment, cervical contrast echocardiography showed significant differences. Conclusion: The combined application of multimodal ultrasonography can provide more valuable information for the clinical evaluation of radiotherapy and chemotherapy in cervical cancer. Contrast - enhanced ultrasound is more valuable.