应用阴道彩色多普勒超声诊断子宫内膜癌并分期  

Diagnosing and staging of endometrial carcinoma using transvaginal color Doppler sonography

作　　者：谢阳桂[1] 于秀[2] 张玉泉[3] 宋倩[4] 吕晓清[1] 施公胜[5] 吴晨梅[3] 

机构地区：[1]南通大学附属医院医学超声科,江苏南通226001 [2]南通大学附属医院普外科实验室,江苏南通226001 [3]南通大学附属医院妇产科,江苏南通226001 [4]南通市中医院超声科,江苏南通226001 [5]南通大学附属医院病理科,江苏南通226001

出　　处：《中国医学影像技术》2011年第1期116-119,共4页Chinese Journal of Medical Imaging Technology

基　　金：南通市社会发展基金(S30026)

摘　　要：目的探讨经阴道彩色多普勒超声(TVCDS)在子宫内膜癌诊断及分期中的临床应用价值。方法 应用TVCDS筛查713名子宫内膜癌高危者,测量子宫内膜厚度,观察子宫内膜形态、内膜与肌层交界面弱回声晕的完整性,观察病灶的部位、大小、回声、边缘是否规整及内部血流,判断肌层浸润深度。根据国际妇产科联盟(FIGO)分期方法,将子宫内膜癌分为Ⅰ～Ⅳ期,并将TVCDS诊断与手术病理结果对照分析。结果 TVCDS诊断子宫内膜癌109例,其中104例经手术病理证实,TVCDS对子宫内膜癌诊断和分期的符合率分别为95.41%(104/109)和98.08%(102/104)。104例患者中,98例内膜厚度5.6～56mm,6例内膜无增厚但存在宫腔积液。肿瘤分期与肿瘤血供丰富程度呈正相关(r=0.6994,P<0.01),肿瘤分期越高,血供越丰富。结论 应用TVCDS诊断子宫内膜癌并进行分期,可为临床制定治疗方案、判断预后提供可靠依据。Objective To investigate the clinical value of preoperative transvaginal color Dopple sonography（TVCDS） in diagnosing and staging of endometrial carcinoma.Methods Seven hundred and thirteen people who were at high risk for endometrial carcinoma underwent TVCDS.The endometrium thickness was measured.The form of endometrium and the integrity of the faint echo halos at the interface between endometrium and muscularis were observed.The lesions were observed,including the location,size,echo,the regularity and integrity of the edge and inside blood flow.The extent of muscularis infiltrating by tumor was judged.The endometrial carcinoma was divided into Ⅰ—Ⅳ stage according FIGO＇s phasing method,and the diagnostic results of TVCDS,and the operative pathology were compared.Results One hundred and nine patients were diagnosed as endometrical carcinoma,in which 104 were proved by surgical pathology.The conformity rate of TVCDS in diagnosing and staging endometrial carcinoma was 95.41%（104/109） and 98.08%（102/104）,respectively.In 104 patients,endometrium thickness of 98 patients were 5.6—56 mm,other 6 patients were with endometrial cavity fluid.Stage of endometrial carcinoma had positive correlation with blood supply（r=0.6994,P0.01）.Conclusion Diagnosing and staging of endometrial carcinoma using TVCDS could help to determine clinical treatment protocols and predict the prognosis for the patients.

关 键 词：子宫内膜肿瘤 超声检查 多普勒 彩色 肿瘤分期 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.33[医药卫生—诊断学]