经阴道彩色多普勒超声检测子宫内膜癌及对肌层浸润程度和血流分级的诊断分析  

Transvaginal Color Doppler Ultrasound Detection of Endometrial Cancer and Diagnosis and Analysis of Myometrial Infiltration and Flow Classification

作　　者：张金玲 付瑞 李豆豆 王蕾 高风枝 袁艺蕊 ZHANG Jinling;FU Rui;LI Doudou(Henan Institute of Reproductive Health Science and Technology,Henan Reproductive and Obstetrics Hospital,Zhengzhou,450002)

机构地区：[1]河南省生殖健康科学技术研究院,河南省生殖妇产医院,450002 [2]郑州市第一人民医院,450002

出　　处：《实用癌症杂志》2021年第7期1140-1143,共4页The Practical Journal of Cancer

摘　　要：目的研究经阴道彩色多普勒超声检测子宫内膜癌及对肌层浸润程度和血流分级的诊断情况,为临床诊治工作提供参考资料。方法选取子宫内膜癌患者103例作为观察对象,选取同时期子宫内膜增生患者103例作为对照,比较两组研究对象的子宫内膜病变回声厚径和超声血流阻力特征,观察经阴道彩色多普勒超声检测子宫内膜癌的图像特征,分析经阴道彩色多普勒超声检测对子宫内膜癌肌层浸润程度和血流分级的诊断情况。结果子宫内膜癌组绝经前、绝经后患者子宫内膜病变回声厚径分别为(18.95±4.87)mm、(20.16±5.32)mm,均显著大于子宫内膜增生组的(13.58±4.31)mm、(10.24±3.86)mm(P<0.05)。子宫内膜癌组以低阻力和高低阻力并存为主,分别占37.9%、40.8%,而子宫内膜增生组以高阻力为主,占68.9%,组间差异均有统计学意义(P<0.05)。经阴道彩色多普勒超声检测子宫内膜癌对肌层浸润程度的诊断与病理结果符合率为93.2%。Kappa一致性分析提示经阴道彩色多普勒超声诊断子宫内膜癌分期和病理分期结果较为一致(Kappa=0.652,P<0.05)。Spearman相关性分析提示经阴道彩色多普勒超声诊断子宫内膜癌分期与血流分级呈正相关(γ=0.794,P<0.05),肿瘤分期越高、血供越丰富。结论经阴道彩色多普勒超声检测子宫内膜癌能够清楚显示子宫内膜厚度变化特点及血流阻力特征,对肌层浸润程度和血流分级具有较高的临床诊断价值,可以作为子宫内膜癌可靠、有效的检查方案。Objective To study the transvaginal color doppler ultrasound detection of endometrial cancer and diagnosis and analysis of myometrial infiltration and flow classification,and provide reference materials for clinical diagnosis and treatment.Methods 103 patients with endometrial cancer diagnosed and treated were selected as the observation group,and 103 patients with endometrial hyperplasia were selected as the control group,the echo thickness and ultrasonic blood flow resistance characteristics of endometrial lesions between 2 groups were compared,and the image characteristics of endometrial cancer detected by transvaginal color doppler ultrasound were analyzed.Compared with the pathological results,the accuracy of transvaginal color doppler ultrasound in detecting myometrial invasion and pathological staging of endometrial carcinoma was analyzed.Results The echo thickness of endometrial lesions in the endometrial cancer group before and after menopause were(18.95±4.87)mm and(20.16±5.32)mm,which were significantly larger than(13.58±4.31)mm,(10.24±3.86)mm in the endometrial hyperplasia group(P<0.05).The endometrial cancer group was dominated by low resistance and high and low resistance coexisting,accounted for 37.9% and 40.8%,respectively,while the endometrial hyperplasia group was dominated by high resistance,accounted for 68.9%,the differences between the 2 groups were statistically significant(P<0.05).The coincidence rate of transvaginal color doppler ultrasound in the diagnosis of myometrial invasion was 93.2%.Kappa consistency analysis indicated that transvaginal color doppler ultrasound diagnosis of endometrial cancer staging and pathological staging results were more consistent(Kappa=0.652,P<0.05).Spearman correlation analysis showed that the diagnosis of endometrial cancer staging by transvaginal color doppler ultrasound was positively correlated with blood flow grade(γ=0.794,P<0.05),the higher the tumor stage,the more abundant the blood supply.Conclusion Transvaginal color doppler ultrasound detectio

关 键 词：子宫内膜癌 彩色多普勒超声 阴道 肌层浸润 血流分级 

分 类 号：R737.33[医药卫生—肿瘤]