双重超声造影技术在子宫内膜癌分期诊断中的临床应用价值研究  

Clinical Application Value of Dual Contrast-enhanced Ultrasound Technology in the Staging Diagnosis of Endometrial Cancer

作　　者：陈玉英 任宏义[1] 闫丽[1] CHEN Yuying;REN Hongyi;YAN Li(Department of Ultrasound Imaging,Hubei Aerospace Hospital,Xiaogan,Hubei Province,432000 China)

机构地区：[1]湖北航天医院超声影像科,湖北孝感432000

出　　处：《世界复合医学》2024年第3期11-14,24,共5页World Journal of Complex Medicine

基　　金：孝感市自然科学计划项目(XGKJ2022010042)。

摘　　要：目的采用宫腔声学造影与静脉超声造影联合技术对子宫内膜癌进行分期,分析双重超声造影技术的子宫内膜癌分期诊断效能。方法方便选取2022年3月—2023年9月湖北航天医院收治的45例疑似子宫内膜癌患者作为研究对象。均采用二维超声技术、宫腔声学造影与静脉超声造影联合技术进行检查。以手术病理为金标准,观察双重超声造影技术诊断子宫内膜癌临床分期的效能。结果以手术病理为金标准,45例疑似子宫内膜癌患者中检出子宫内膜癌39例。双重超声造影技术的诊断准确度、灵敏度、特异度均高于二维超声技术,差异有统计学意义(P均<0.05)。双重超声造影技术诊断子宫内膜癌Ⅰa期、Ⅰb期、Ⅱ期的诊断符合率(88.89%、100.00%、100.00%)高于二维超声技术(44.44%、75.00%、55.56%),差异有统计学意义(χ^(2)=4.000、4.571、5.143,P均<0.05)。双重超声造影技术诊断子宫内膜Ⅲ期、Ⅳ期的符合率与二维超声技术比较,差异无统计学意义(P均>0.05)。结论宫腔声学造影与静脉超声造影联合可以提高子宫内膜癌分期的诊断水平,特别是在Ⅰa期、Ⅰb期、Ⅱ期的分期诊断中,优于二维超声技术。Objective To uses the combined technology of intrauterine contrast-enhanced ultrasound and intravenous contrast-enhanced ultrasound to stage endometrial cancer,and analyzes the diagnostic performance of dual contrast-enhanced ultrasound technology for staging endometrial cancer.Methods A total of 45 patients with suspected endometrial cancer admitted to Hubei Aerospace Hospital from March 2022 to September 2023 were conveniently selected as the research subjects.All examinations were carried out using two-dimensional ultrasound technology,combined technology of intrauterine ultrasound contrast-enhanced ultrasound and intravenous contrast-enhanced ultrasound.The surgical pathology was the"gold standard",the effectiveness of dual contrast-enhanced ultrasound technology in diagnosing the clinical staging of endometrial cancer was observed.Results Using surgical pathology as the gold standard,39 cases of endometrial cancer were detected among 45 cases of suspected endometrial cancer.The diagnostic accuracy,sensitivity and specificity of dual contrastenhanced ultrasound technology are higher than those of two-dimensional ultrasound technology,and the difference was statistically significant(all P<0.05).The diagnostic accuracy of dual contrast-enhanced ultrasound technology in diagnosing stage Ia,stage Ib and stageⅡendometrial cancer(88.89%,100.00%,100.00%)were higher than those of two-dimensional ultrasound technology(44.44%,75.00%,55.56%),and the differences were statistically significant(χ^(2)=4.000,4.571,5.143,all P<0.05).There was no statistically significant difference in the coincidence rate between dual contrast-enhanced ultrasound technology and two-dimensional ultrasound technology in diagnosing endometrial stagesⅢandⅣ(both P<0.05).Conclusion The combination of sonohysterography and intravenous contrast-enhanced ultrasound can improve the diagnostic level of endometrial cancer staging,especially in the staging diagnosis of stage Ia,stage Ib and stageⅡ,which is superior to twodimensional ultrasound te

关 键 词：双重超声造影技术 子宫内膜癌 分期诊断 宫腔声学造影 静脉超声造影 

分 类 号：R4[医药卫生—临床医学]