乳腺淋巴瘤包括原发性乳腺淋巴瘤(primary breast lymphoma,PBL)和继发性乳腺淋巴瘤其中BL是以乳腺为原发部位的恶性淋巴瘤,属于结外型淋巴瘤,其病理类型多为非霍奇金淋巴瘤(non-Hodgkin lymphoma,NHL),极少为霍奇金淋巴瘤.原发乳腺NHL中以弥漫大B细胞淋巴瘤(diffuse large B cell lymphoma,DLBCL)最常见[1],其发病率均比乳腺癌低,临床上仅根据影像学资料很难与乳腺癌鉴别.乳腺淋巴瘤和乳腺癌的治疗方法及预后截然不同,术前如有疑诊为乳腺淋巴瘤的患者应高度警惕.
目的:探讨子宫动脉血流参数联合血小板聚集功能预测不明原因复发性流产(URSA)的价值。方法:将2021年9月至2023年8月本院收治的94例URSA患者作为URSA组,另外将同期在本院进行产检的110例正常妊娠孕妇作为对照组。URSA患者随访至妊娠28周,根据妊娠结局分为正常妊娠组(n = 25)和流产组(n = 69)。比较2组患者子宫动脉血流参数、血小板聚集率;采用受试者工作特性(ROC)曲线评估子宫动脉血流参数、血小板聚集率对URSA患者妊娠结局的预测价值;采用二分类Logistic逐步回归分析探讨URSA患者妊娠结局的影响因素。结果:在搏动指数(PI)、动脉血流阻力指数(RI)、收缩期/舒张期血流速度比值(S/D)、血小板聚集率指标方面,URSA组相较于对照组更高(P P P Objective: To explore the value of the combination of uterine artery flow parameters and platelet aggregation function in predicting unexplained recurrent abortion (URSA). Methods: 94 patients with URSA from September 2021 to August 2023 were selected as the URSA group, and 110 normal pregnant women who underwent prenatal examination were selected as the control group. The URSA patients were followed up until 28 weeks of gestation and divided into the normal pregnancy group (n = 25) and the abortion group (n = 69) according to the pregnancy outcome. The uterine artery blood flow parameters and platelet aggregation rate were compared between the two groups. The predictive value of the uterine artery flow parameters and platelet aggregation rate for the pregnancy outcomes of URSA patients was evaluated by ROC. Binary Logistic stepwise regression was employed to explore the influencing factors of the pregnancy outcomes of URSA patients. Results: The indexes of the pulse index (PI), the arterial flow resistance index (RI), the systolic/diastolic blood flow velocity ratio (S/D), and the platelet aggregation rate in the URSA group were higher than those in the control group (P P P < 0.05). The ROC curve de
