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目的 探讨胎盘部滋养细胞肿瘤(PSTT)的超声诊断特征。方法 回顾性分析6例我院收治并确诊为PSTT的患者,均行经阴道彩色多普勒超声检查(CDFI)和术后病理诊断。结果 PSTT主要CDFI表现为:超声检查发现病变的部位呈中等或中低回声,其内部可以有或无低回声,且不规则;周围组织见血管分布,血管阻力指数值低;其内部可以无血管伸入。其生长部位以宫腔较多见。临床处理: 4例刮宫, 2例全子宫切除,并且辅以化疗。结论 PSTT的CDFI检查有一定的特征性,可以为临床分期提供依据。
Objective To investigate the diagnostic characteristics of placental trophoblastic tumor (PSTT). Methods A retrospective analysis of 6 patients admitted to our hospital and diagnosed as PSTT were performed transvaginal color Doppler ultrasonography (CDFI) and postoperative pathological diagnosis. Results The main manifestations of CDFI in PSTT were as follows: ultrasonography showed moderate or low echo in the lesion and internal echo with or without hypoechoicity; vascular distribution in surrounding tissues with low vascular resistance index; Reach in. The growth of the uterine cavity more common. Clinical treatment: 4 cases curettage, 2 cases of hysterectomy, and supplemented by chemotherapy. Conclusion The CDFI examination of PSTT has certain characteristics and can provide the basis for clinical staging.