经腹及经阴道超声诊断子宫内膜癌及其肌层浸润程度效能  

Efficacy of abdominal and transvaginal ultrasound for diagnosing the endometrial cancer and its myometrial invasion degree of women

作　　者：刘闪闪 严静 LIU Shanshan;YAN Jing(Jinhua Municipa Centeral Hospital,Jinhua,Zhejiang Province,321000)

机构地区：[1]浙江省金华市中心医院,321000

出　　处：《中国计划生育学杂志》2024年第6期1424-1428,共5页Chinese Journal of Family Planning

摘　　要：目的:探究子宫内膜癌患者经腹部超声、经阴道超声诊断疾病与肌层浸润程度的临床价值。方法:选取2021年2月-2023年2月本院诊治的子宫内膜癌患者80例及同期健康体检者80例,均行经腹部超声、经阴道超声检查,子宫内膜癌患者以病理检查结果为金标准,对比分析单独及联合应用经腹部超声、经阴道超声诊断子宫内膜癌及其肌层浸润程度的效果,观察指标包括准确率、敏感度、特异度以及受试者工作特征曲线(ROC)下面积(AUC)。结果:诊断子宫内膜癌,腹部超声、经阴道超声及2项联合诊断的准确率(75.6%、88.8%、98.1%),敏感度(75.0%、87.5%、97.5%),特异度(76.3%、90.0%、98.8%),AUC(0.756、0.888、0.981)均依次升高;诊断子宫内膜癌肌层浸润程度,腹部超声、经阴道超声及2项联合诊断的准确率(62.5%、82.5%、97.5%),敏感度(64.0%、82.0%、96.0%),特异度(60.0%、83.3%、100.0%),AUC(0.620、0.827、0.980)均依次升高(均P<0.05)。结论:腹部超声、经阴道超声诊断子宫内膜癌及其肌层浸润程度均有较高效能,腹部超声、经阴道超声、2项联合诊断效能依次升高。Objective:To explore the clinical value of abdominal and transvaginal ultrasound for diagnosing the endometrial cancer and its myometrial invasion of women.Methods:From February 2021 to February 2023,80 women with endometrial cancer and 80 healthy women who had accepted physical examination were selected as the research objects.The abdominal ultrasound and transvaginal ultrasound were performed on all of these women.The results of the pathological examination of the women with endometrial cancer were used as the gold standard.The effect of single and combined application of abdominal ultrasound and transvaginal ultrasound for diagnosing the endometrial cancer and its myometrial invasion degree was compared and analyzed.The observation indicators in this study included the accuracy,the sensitivity,the specificity and the area under the receiver operating characteristic(ROC)curve.Results:The accuracy of the transvaginal ultrasound alone,the abdominal ultrasound alone,and the combined the transvaginal and abdominal ultrasound for diagnosing the endometrial cancer were 75.6%,88.8%and 98.1%,respectively,the sensitivity of which were 75.0%,87,5%and 97.5%,respectively,the specificity of which were 76.3%,90.0%and 98.8%,respectively,and the AUC of which were 0.756,0.888 and 0.981,respectively.The accuracy,the sensitivity,the specificity and the AUC of the transvaginal ultrasound alone,the abdominal ultrasound alone,and the combined the transvaginal and abdominal ultrasound for diagnosing the endometrial cancer had increased gradually.The accuracy of the transvaginal ultrasound alone,the ultrasound alone,and the combined the transvaginal and transabdominal ultrasound for diagnosing the myometrial invasion degree of the endometrial cancer were 62.5%,82.5%and 97.5%,respectively,the sensitivity of which were 64.0%,82.0%and 96.0%,respectively,and the specificity of which were 0.620,0.827and 0.980,respectively.The accuracy,the sensitivity and the specificity of the transvaginal ultrasound alone,the abdominal ultrasound alone,an

关 键 词：子宫内膜癌 肌层浸润程度 经阴道超声 腹部超声 诊断价值 

分 类 号：R737.33[医药卫生—肿瘤] R445.1[医药卫生—临床医学]