宫腔镜联合盆腔CT检查在子宫内膜癌宫颈受累诊断中的临床价值  

Clinical Value of Hysteroscopy Combined with Pelvic CT in the Diagnosis of Cervical Involvement in Endometrial Cancer

作　　者：王爱红 陈海燕 丁国民 WANG Ai-hong;CHEN Hai-yan;DING Guo-ming(Zengdu Hospital of Suizhou City,Suizhou 441300,Hubei Province,China)

机构地区：[1]湖北省随州市曾都医院妇产科,湖北随州441300 [2]湖北省人民医院,湖北武汉430060

出　　处：《中国CT和MRI杂志》2020年第7期94-96,共3页Chinese Journal of CT and MRI

基　　金：湖北省自然科学基金项目(编号:2016CFB425)。

摘　　要：目的探究宫腔镜联合盆腔体层摄影(CT)应用于子宫内膜癌患者术前宫颈受累诊断的临床效果。方法回顾性分析96例子宫内膜癌患者临床资料,以术中冷冻宫颈组织切片病理学检查为"金标准",比较宫腔镜检查、盆腔CT检查及二者联合诊断患者宫颈受累情况的诊断效能差异。结果术中冷冻宫颈组织切片病理学检查结果显示,96例子宫内膜癌患者中,宫颈受累22例(22.92%),宫颈未受累74例(77.08%)。宫腔镜与盆腔CT诊断子宫内膜癌患者宫颈受累情况灵敏度与准确度均明显低于宫腔镜联合盆腔CT检查方案(P<0.05),而各检查方案间特异度比较均无统计学意义(P>0.05)。结论宫腔镜联合盆腔CT检查能对子宫内膜癌宫颈受累情况作出较为准确诊断,该方案可便于为临床提供完善病变信息。Objective To explore the clinical effects of hysteroscopy combined with pelvic computed tomography(CT) in the diagnosis of preoperative cervical involvement in patients with endometrial cancer. Methods The clinical data of 96 patients with endometrial cancer were retrospectively analyzed. The pathological examination of frozen cervical tissue sections was used as the gold standard to compare the diagnostic efficacy of hysteroscopy, pelvic CT and their combined diagnosis in the diagnosis of cervical involvement. Results The results of pathological examination of frozen cervical tissue sections showed that among 96 patients with endometrial cancer, there were 22 cases(22.92%) with cervical involvement and 74 cases(77.08%) without cervical involvement. The sensitivity and accuracy of hysteroscopy and pelvic CT were significantly lower than those of hysteroscopy combined with pelvic CT in the diagnosis of cervical involvement in patients with endometrial cancer(P<0.05), but there was no statistically significant difference in the specificity among examinations(P>0.05). Conclusion Hysteroscopy combined with pelvic CT can make a more accurate diagnosis of cervical involvement in endometrial cancer, and this regimen can easily provide comprehensive information in clinical practice.

关 键 词：宫腔镜 体层摄影 子宫内膜癌 宫颈受累 

分 类 号：R445.3[医药卫生—影像医学与核医学] R737.33[医药卫生—诊断学]