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目的:探讨不同证型子宫肌瘤血流彩色多普勒超声声像图特征及其相关性,为中医证候诊断客观指标提供前期工作基础。方法:根据诊断和辨证标准纳入不同证型子宫肌瘤患者120例,采用彩色多普勒超声检测子宫肌瘤局部血流情况,采用统计学软件对不同证型子宫肌瘤血流特征及其相关性进行分析。结果:气滞血瘀、痰湿瘀结、瘀热交阻和气虚血瘀4证子宫肌瘤内部血流特征有区别,其中“周边环绕”以气虚血瘀证所占比例较大,“内部点状”则以气滞血瘀证、痰湿瘀结证所占比例较大,“内部杂乱”以瘀热交阻证所占比例较大。4种常见证型间血流特征构成比差异有统计学意义(P<0.05)。气滞血瘀证与瘀热交阻证、气虚血瘀证,痰湿瘀结证与瘀热交阻证,瘀热交阻证与气虚血瘀证的血流特征构成比差异均有统计学意义(P<0.05);气滞血瘀证与痰湿瘀结证、痰湿瘀结与气虚血瘀证差异无统计学意义(P>0.05)。不同中医证候动、静脉频谱和动脉收缩期峰值流速、舒张末期流速、阻力指数以及静脉流速有不同程度差异,但不同证候间差异均无统计学意义(P>0.05)。结论:子宫肌瘤不同中医证候在其内部及周边血流方面具有不同程度的特征。
Objective: To investigate the color Doppler echocardiographic features of blood flow in different syndromes of uterine fibroids and their correlations, and to provide the preliminary work foundation for the objective indexes of TCM syndrome diagnosis. Methods: According to the diagnostic and dialectical criteria, 120 cases of uterine fibroids with different syndromes were enrolled. The local blood flow of uterine fibroids was detected by color Doppler ultrasound. The statistical software was used to analyze the blood flow characteristics of uterine fibroids and their correlation Sex analysis. Results: Qi stagnation and blood stasis, phlegm and dampness stasis, blood stasis resistance and qi deficiency and blood stasis 4 internal uterine fibroids internal blood flow characteristics are different, including “peripheral” with a larger proportion of qi deficiency and blood stasis, “Internal point ” is to qi stagnation syndrome, phlegm and dampness syndrome accounts for a larger proportion, “internal mess ” a large proportion of stagnation of blood stasis. There were significant differences in the characteristics of blood flow among the 4 common syndromes (P <0.05). Qi stagnation syndrome and stagnation of blood stasis syndrome, qi deficiency and blood stasis syndrome, phlegm and blood stasis syndrome and stagnation of blood stasis syndrome, stagnation of blood stasis and qi deficiency blood stasis syndrome of blood flow characteristics of constituent ratio differences were statistically (P <0.05). There was no significant difference between qi stagnation syndrome and phlegm and blood stasis syndrome, phlegm and dampness stasis syndrome and qi deficiency and blood stasis syndrome (P> 0.05). Different syndromes of TCM syndrome, venous spectrum and arterial systolic peak flow, end-diastolic flow rate, resistance index and venous flow rate have different degrees of difference, but there is no significant difference between different syndromes (P> 0.05). Conclusion: Different TCM syndromes of uterine fibroids have different degrees of features in their internal and peripheral blood flow.