摘要
目的：评价早期宫颈癌三维能量多普勒超声血管参数与临床病理参数的关系，及其预测术后辅助治疗的价值。方法：回顾分析2009年12月—2011年3月在中国医科大学附属盛京医院以手术治疗为初治疗的早期宫颈癌患者50例，收集临床病理资料，详细记录临床分期、临床病理参数、术后治疗。结果：对比分析早期宫颈癌患者病灶血流灌注与宫颈癌预后因素的相关性，发现宫颈癌病灶血流灌注与淋巴结转移、宫旁浸润、间质侵袭深度〉10 mm有关（P＜0.05）。宫颈癌患者的血管形成指数（VI）与淋巴结转移、宫旁浸润有关（P＜0.05）。三维能量多普勒超声检查发现，血流信号丰富者及血流不丰富但VI＞3.97者术后接受辅助治疗的比值比（OR）为12.5，95%CI：2.92~53.48。结论：三维能量多普勒超声参数VI与病灶血流灌注丰富可作为预测早期宫颈癌术后是否应用辅助治疗的重要参数。
Objective：To evaluate the relationship between vascular parameters assessed by three-dimensional power Doppler ultrasound and clinicopathologic parameters in early cervical carcinoma patients, and the value of vascular parameters in prediction of postoperative treatment. Methods：The data of 50 patients with early cervical carcinoma who underwent radical hysterectomy and pelvic lymphadenectomy in Shengjing Hospital Affiliated to China Medical University from December 2009 to March 2011 were retrospectively analyzed. The parameters of tumor, clinicopathologic records and postoperative treatment were used for analysis. Results：The comparative analysis of the relationship between the focal microvascular status and factors relevant to the prognosis of early cervical cancer showed that the focal blood perfusion was closely correlated with lymph node metastasis, parametrial inifltration and depth of stromal invasion〉10 mm, which were all the key factors for the prognosis of cervical cancer （P﹤0.05）. The vascularity index （VI） was signiifcantly associated with pelvic lymph node metastasis and parametrial inifltration （P﹤0.05）. The presence of poor blood lfow signal with VI〉3.97 or abundant blood lfow signal was associated with the need for postoperative treatment （OR：12.5, 95%CI：2.92-53.48）. Conclusion：VI and abundant blood lfow signal can be used as useful indicators for predicting postoperative treatment of early cervical carcinoma .
出处
《肿瘤影像学》
2015年第1期16-20,共5页
Oncoradiology
基金
辽宁省自然科学基金(2013020197)
