超声及CT在子宫内膜癌术前分期诊断中的价值  

The Value of Ultrasound and CT in the Preoperative Stages Diagnosis of Endometrial Cancer

作　　者：薛千素 郑沾兵 邓极燃 万小梅[1] XUE Qian-su;ZHENG Zhan-bin;DENG Ji-ran(Department of Special Inspection Division,Zigong City Maternal and Child Health Hospital,Zigong 643000,Sichuan Province,China)

机构地区：[1]四川省自贡市妇幼保健院特检科,四川自贡643000 [2]四川省自贡市第一人民医院超声科,四川自贡643099 [3]四川省自贡市第一人民医院放射科,四川自贡643099

出　　处：《中国CT和MRI杂志》2019年第2期72-74,共3页Chinese Journal of CT and MRI

基　　金：四川省卫生厅科研项目(120543)

摘　　要：目的探究超声及CT在子宫内膜癌术前分期中的诊断价值。方法回顾性分析我院2014年1月至2018年2月间收治的81例子宫内膜癌患者的影像学资料,所有患者术前两周内均行经阴道超声及CT检查,术后经病理证实。根据影像学检查结果进行术前分期及淋巴结转移情况分析,以术后病理结果作为金标准,比较两种方式对子宫内膜癌临床分期及淋巴结转移的诊断效能。结果超声对子宫内膜癌临床分期的诊断准确性为75.31%(61/81);CT对子宫内膜癌临床分期的诊断准确性为83.95%(68/81),两种方法诊断准确性比较差异无统计学意义(P>0.05);CT对子宫内膜癌淋巴结转移患者检出率高于经阴道超声,差异具统计学意义(P<0.05)。结论超声及CT对子宫内膜癌临床分期的诊断价值相当,在淋巴结检出方面CT更具优势。Objective To investigate the value of ultrasound and CT in the preoperative stages diagnosis of endometrial cancer.Methods The imaging data of 81 patients with endometrial cancer admitted to the hospital from January 2014 to February 2018 were retrospectively analyzed.All patients underwent transvaginal ultrasound and CT examination within two weeks before surgery,confirmed by pathology after surgery.The preoperative stages and lymph node metastasis were analyzed according to the results of imaging examination.Taking the postoperative pathological results as the golden standard,the diagnostic efficiencies for clinical stages and lymph node metastasis of endometrial cancer by the two methods were compared.Results The accuracy for the diagnosis of clinical stages of endometrial cancer by ultrasound was 75.31%(61/81).The above index by CT was 83.95%(68/81).The was no significant difference in the diagnosis accuracy by the two methods(P >0.05).The detection rate for the diagnosis of patients with endometrial cancer lymph node metastasis by CT was higher than that by transvaginal ultrasound(P<0.05).Conclusion Ultrasound and CT have similar diagnostic value for clinical stages of endometrial cancer.CT is superior in lymph node detection.

关 键 词：子宫内膜癌 超声 CT 临床分期 淋巴结转移 

分 类 号：R711.32[医药卫生—妇产科学]