| 摘要: |
| 【】 目的 探讨经阴道彩色多普勒超声(TVCDS)诊断子宫内膜癌的声像特征及在子宫内膜癌病理分期中的价值。方法 选取2013年1月至2016年7月在我院经病理学检查证实的子宫内膜癌患者168例、190例子宫内膜增生患者的超声声像资料进行研究,对比两组患者的声像特征差异,并以病理学结果作为标准评价TVCDS对子宫内膜癌分期的价值。结果 绝经前和绝经后的子宫内膜患者的子宫内膜病变回声厚径值均高于子宫内膜增生患者,差异具有统计学意义(P<0.05)子宫内膜患者高阻力血流患者比例20.24%低于子宫内膜增生组的70.00%(P<0.05),子宫内膜患者低阻力血流患者比例33.93%、高低阻力并存40.48%均高于子宫内膜增生组的5.79%、16.32%(P<0.05),两组未探及血流信号患者比例差异无统计学意义(P>0.05)；TVCDS检查分期结果与病理学分期结果相关性分析：Spearman r=0.893,P<0.001；TVCDS检查分期与病理学分期结果的一致性分析：kappa值=0.673,P<0.001。结论 TVCDS可以较好观察子宫内膜不同疾病的血流阻力特征、子宫内膜厚度,TVCDS术前分期与病理学分期具有高度的相关性和一致性。 |
| 关键词: |
| DOI： |
| 投稿时间：2017-01-15修订日期：2017-12-18 |
| 基金项目: |
|
| The value of TVCDS in the diagnosis of endometrial carcinoma and its pathological staging |
| Wang Li |
| (Department of Ultrasonography,Shanghai First People's Hospital of Baoshan branch) |
| Abstract: |
| 【】Objective To evaluate the value of transvaginal color Doppler ultrasonography (TVCDS) in the diagnosis of endometrial carcinoma and its value in the staging of endometrial carcinoma. Methods From January 2013 to July 2016 in our hospital, 168 cases of pathologically confirmed endometrial cancer patients and 190 cases of endometrial hyperplasia in patients with ultrasonographic data research, imaging feature differences between two groups of patients, and the pathological results as the evaluation criteria of TVCDS on endometrial cancer staging. Results Premenopausal and postmenopausal endometrium in patients with endometrial lesions were higher than the echo thickness in patients with endometrial hyperplasia, the difference was statistically significant (P<0.05) in patients with endometrial high resistance is lower than 20.24% of the proportion of patients with endometrial hyperplasia group (P<0.05), 70% patients with endometrial blood flow in patients with low resistance and low resistance ratio of the 33.93% coexist 40.48% were higher than that of endometrial hyperplasia group 5.79%, 16.32% (P<0.05), the two groups had no statistically significant proportion of patients with blood flow signal was not detected difference (P>0.05); analysis of TVCDS staging results and pathological staging results: Spearman r=0.893, P<0.001; correlation analysis of consistency of TVCDS staging with pathological staging results: kappa =0.673, P<0.001. Conclusion TVCDS diagnosis of endometrial carcinoma, blood flow resistance characteristics, endometrial thickness were significantly changed, TVCDS preoperative staging and pathological staging has a high degree of correlation and consistency. |
| Key words: |
