文档介绍：妊娠滋养细胞肿瘤彩色多普勒超声的诊断价值
作者:谢晴周琦雷小莹安芳吴静刘惠喜
【摘要】目的:总结彩色多普勒超声诊断妊娠滋养细胞肿瘤的应用价值,并进行疗效观察。方法:应用彩色多普勒超声诊断218例妊娠滋养细胞肿瘤,并进行随访观察。随访指标为血窦大小、血窦阻力指数、子宫肌壁血流,并结合血清绒毛膜促性腺激素(β-hCG)。结果:218例妊娠滋养细胞肿瘤中(侵蚀性葡萄胎186例,绒毛膜癌32例)随访195例,占病例总数89%,其中2例侵蚀性葡萄胎转京治疗,2例绒癌死亡,其余191例妊娠滋养细胞肿瘤(绒毛膜癌30例、侵蚀性葡萄胎161例)经化疗后血窦消失,肌壁血流显示正常,同时β-hCG恢复正常。结论:彩色多普勒超声结合临床可协助准确诊断妊娠滋养细胞肿瘤并进行疗效观察。
【关键词】彩色多普勒超声;妊娠滋养细胞肿瘤
AbstractObjective:To review clinical data of gestation trophoblastic tumor cases diagnosed by color Doppler ultrasonography and to follow up the curative effect. Methods: Total 218 patients with gestation trophoblastic tumor were studied by color Doppler and fllowed up. Such fllow-up indexes as the size of blood sinuses,the blood flow resistance index
(RI) , uterine muscular layer blood flow and β-hCG were studied. Results: Of 218 cases of gestation trophoblastic tumour(186 cases of invasive hydatidiform mole and 32 cases of choriocarcinoma), 195 cases (89%) were followed-up. Excepting that 2 invasive hydatidiform mole had been transferred to Beijing and 2 choriocarcinoma had died after chemotherapy, the blood sinuses of 191 cases (30 choriocarcinoma, 161 invasive hydatidiform mole) disappeared after chemotherapy, the flow resistance index (RI) , uterine blood muscular layer flow and β-hCG became nomal. Conclusion: Associated with clinic, color Doppler can be used to accurately diagnose gestation trophoblastic tumour