经阴道超声对子宫内膜癌浸润深度评价的研究  

Diagnostic value of transvaginal sonography in judging myometrial invasion of endometrial carcinoma

作　　者：周爽[1] 林如[1] 刘智[1] ZHOU Shuang LIN Ru LIU Zhi(Department of Ultrasound, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China)

机构地区：[1]复旦大学附属妇产科医院超声科,上海200011

出　　处：《肿瘤影像学》2017年第3期205-210,共6页Oncoradiology

摘　　要：目的:评价经阴道彩色多普勒超声诊断子宫内膜癌浸润深度的准确率及影响因素。方法:回顾性分析209例子宫内膜癌患者术前经阴道彩色多普勒超声检查结果,与病理诊断结果对照并进行评价,同时统计分析病理类型、子宫大小及患者年龄对超声诊断准确率的影响。结果:209例子宫内膜癌患者中,无肌层浸润31例,浅肌层浸润134例,深肌层浸润44例。经阴道彩色多普勒超声判断有无深肌层浸润的准确率为77.51%。统计分析显示,病理类型、子宫大小及患者年龄在确诊组与误诊组之间差异无统计学意义(P>0.05)。结论:经阴道彩色多普勒超声为判断子宫内膜癌的浸润深度提供了一定参考。子宫内膜癌的病理类型、子宫大小及患者年龄对超声判断内膜癌浸润深度的准确率无影响。Objective： To evaluate the influencing factors and diagnostic accuracy oftransvaginal color Doppler sonography （TV-CDS） in judging the myometrial invasion of endometrial carcinoma. Methods： The data of 209 pathologically defined endometrial cancer cases were reviewed. The preoperative TV-CDS results were compared with the postoperative histopathological findings. Then the effects of pathological category, uterine size and patient age on the diagnostic accuracy of TV-CDS were analyzed. Results： Pathologic examination showed that 31 cases had no myometrial invasion, 134 cases had superficial myometrial invasion, and 44 cases had deep invasion. The accuracy of TV-CDS in diagnosing deep myometrial invasion of endometrial carcinoma was 77.51%. There were no significant differences in pathological category, uterine size and patient age between accurate diagnosis group and misdiagnosis group （P〉0.05）. Conclusion： TV-CDS has diagnostic value in judging myometrial invasion of endometrial cancer. The pathological category, uterine size and patient age have no significant influences on the diagnostic accuracy of TV-CDS.

关 键 词：超声检查 经阴道 子宫内膜癌 肌层浸润 

分 类 号：R445.1[医药卫生—影像医学与核医学]