论文部分内容阅读
目的:比较彩色多普勒超声诊断与实验室病理检测结果,探讨彩色多普勒超声在部分性葡萄胎诊断中的应用价值。方法:随机选取40例超声诊断的部分性葡萄胎患者的临床资料进行回顾性分析,观察病变的边界、内部回声,并运用彩色多普勒超声检查该病变边缘及内部的血流情况,应用频谱多普勒测量病变边缘和内部血流的RI值,并与病理结果比较。结果:40例经彩色多普勒超声诊断部分性葡萄胎患者有34例与病理结果相符合,诊断符合率为85%。结论:超声诊断葡萄胎具有较高的特异性,但部分性葡萄胎往往给诊断带来困难,引起误诊;不典型者仍需结合临床及实验室检查,以提高超声诊断的临床符合率。
Objective: To compare the color Doppler ultrasound diagnosis with laboratory pathology test results and explore the value of color Doppler ultrasound in the diagnosis of partial mole. Methods: The clinical data of 40 patients with partial hydatidiform mole diagnosed by ultrasound were selected retrospectively. The boundary and internal echo of the lesion were observed. The peripheral and internal blood flow of the lesion was examined by color Doppler ultrasonography. Doppler measurement of the edge of the lesion and internal RI values, and compared with the pathological results. Results: In 40 cases of partial mole diagnosed by color Doppler ultrasound, 34 cases were consistent with the pathological findings and the diagnostic coincidence rate was 85%. Conclusion: The diagnosis of hydatidiform moles by ultrasound is of high specificity. However, some hydatidiform moles often cause difficulties in diagnosis and cause misdiagnosis. Atypical cases still need to combine clinical and laboratory tests to improve the clinical coincidence rate of ultrasonic diagnosis.