宫颈癌经阴道超声造影表现及其临床意义  

Performance of Cervical Cancer Under Transvaginal Ultrasound Contrast and Its Clinical Significance

作　　者：黄秀娟[1] 杨顺实[1] 李珏颖[1] 

机构地区：[1]武汉市中心医院超声影像科,湖北武汉430014

出　　处：《武汉大学学报（医学版）》2016年第6期934-937,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨宫颈癌经阴道超声造影的表现特点及其临床意义。方法:对39例经病理证实为宫颈癌患者,回顾性分析其常规彩超及经阴道超声造影检查结果,观察其声像图特点及分期诊断正确率。结果:39例患者中超声造影诊断宫颈癌35例,诊断率89.7%,其中准确判断其范围及分期32例,正确率82.05%,漏诊原位癌及ⅠA期宫颈鳞癌3例,ⅠB1期腺鳞癌1例。经阴道彩超诊断25例,诊断率64.1%,漏诊14例。结论:宫颈癌经阴道超声造影有其独有特点,能显示较小病灶,对宫颈癌的诊断及其分期提供更多有价值信息。有助于临床判断其恶性程度和分期,为宫颈癌患者的术前评估提供有价值的指标,可以弥补常规超声对于宫颈癌诊断及分期的不足,提高诊断信心。Objective：To investigate the value of transvaginal ultrasound contrast for cervical cancer diagnosis and staging.Methods：A total of 39 patients with pathologically confirmed cervical cancer received regular ultrasound and transvaginal contrast-enhanced ultrasound（CEUS）examination,then the sonographic features and staging accuracy were analyzed.Results：Of the 39 cases,35were accurately diagnosed and the diagnosis rate was 89.7%,including 32 cases were accurately determined the border and staging with an accuracy of 82.05%.Only three cases of cervical squamous cell carcinoma in situ and in stageⅠA,and one case in stageⅠB1were missed diagnosis.By transvaginal ultrasound,25 cases were diagnozed accurately,and the diagnosis rate was 64.1%,while 14 cases missed diagnosis.Conclusion：CEUS can provide valuable information on the diagnosis and invasion situation of tumor,it is an important assistant diagnositic method for the diagnosis of cervical cancer.

关 键 词：宫颈癌 经阴道超声 超声造影 肿瘤分期 

分 类 号：R445.1[医药卫生—影像医学与核医学]