经阴道彩色多普勒超声对宫颈浸润癌诊断及术前分期的价值  

Transvaginal color Doppler ultrasound in diagsosis and preoperative staging of invasive cervical cancer

作　　者：张雨芹[1] 王学梅[1] 魏述丽[1] 宛伟娜[1] 李平[1] 

机构地区：[1]中国医科大学附属第一医院超声诊断科,辽宁沈阳110001

出　　处：《中国医学影像技术》2010年第7期1318-1320,共3页Chinese Journal of Medical Imaging Technology

基　　金：辽宁省自然基金(20082098)

摘　　要：目的探讨经阴道彩色多普勒超声(TV-CDUS)对宫颈浸润癌的诊断及术前分期的价值。方法分析138例因宫颈活检证实为宫颈癌或其临床症状及超声检查均怀疑为宫颈癌而接受手术的患者,回顾其术前TV-CDUS的声像图及血流动力学改变,并与术后病理进行比较。结果Ⅰa期宫颈浸润癌TV-CDUS声像图无特异性,Ⅰb～Ⅲ期宫颈癌宫颈内均可见低回声结节,各期患者浸润范围不同;TV-CDUS对宫颈浸润癌的检出率为89.63%。术前TV-CDUS分期总准确率为92.56%(112/121),临床分期总准确率为76.03%(92/121)。TV-CDUS对各期宫颈癌的分期准确率及总的分期准确率均高于临床分期(P均<0.05)。结论 TV-CDUS对Ⅰb～Ⅲ期宫颈癌有较高的诊断价值,有助于临床分期。Objective To observe the value of transvaginal color Doppler ultrasound （TV-CDUS） in diagnosis and preoperative staging of invasive cervical cancer. Methods A total of 138 patients of cervical cancer confirmed with cervical biopsy or suspected through clinical symptoms and ultrasonography were analyzed respectively,and the preoperative TV-CDUS images and hemodynamic changes were analyzed and compared with postoperative pathology. Results TV-CDUS images of phase Ⅰa cervical cancer were not specific,but phase Ⅰb to Ⅲ cervical cancer showed hypoechoic nodules in cervix,and infiltration areas varied in different stages. The TV-CDUS detection rate of invasive cervical cancer was 89.63%. The overall accuracy of preoperative TV-CDUS staging was 92.56% （112/121）,and of clinical staging was 76.03% （92/121）. The accuracy of preoperative TV-CDUS staging for each phase cervical cancer and the total accuracy rate was higher than that of clinical staging,respectively （all P〈0.05）. Conclusion TV-CDUS has high diagnosis value for Ⅰb to Ⅲ phase cervical cancer,and contributes to the clinical staging of cervical cancer.

关 键 词：子宫颈肿瘤 超声检查 多普勒 彩色 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.3[医药卫生—诊断学]