摘要
目的:探讨超声造影对Ⅰ期子宫内膜癌肌层浸润的诊断价值,提高其诊断及鉴别诊断水平。方法:对37例Ⅰ期子宫内膜癌的超声造影表现进行回顾性分析,判断其肌层浸润程度,并与术后病理结果及文献进行对照分析。结果:超声造影示Ⅰa期4例,Ⅰb期20例,Ⅰc期13例。以病例结果为金标准,超声造影判断Ⅰa期的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为75.0%、93.9%、91.9%、60.0%、96.9%;Ⅰb期的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为85.0%、82.4%、83.8%、85.0%、82.4%;Ⅰc期的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为84.6%、95.8%、91.9%、91.7%、92.0%。结论:正确认识超声造影表现有利于正确诊断,超声造影对判断Ⅰ期子宫内膜癌肌层浸润的诊断及术前分期有一定价值。
Objective：To explore the diagnostic value of contrast-enhanced ultrasound in judging the myometrial invasion of stageⅠ endometrial carcinoma so as to improve its diagnosis and differential diagnosis.Methods ：contrast-enhanced ultrasound features of stageⅠendometrial carcinoma proved by operation and pathology in 37 patients were retrospectively analyzed in combination with literature review.The contrast-enhanced ultrasound diagnosis of myometrial invasion were correlated with pathologic findings and literature.Results：Based on contrast-enhanced ultrasound image,the tumor was divided into stageⅠa（4 cases）, stageⅠb（20 cases）;stageⅠc（13 cases）.Compared with postoperative pathology results,the incidence of sensitivity,specificity,accuracy,positive predictive value and negative predictive value of contrast-enhanced ultrasound assessment for tumor confined to stageⅠa were 75.0%,93.9%,91.9%,60.0%,96.9%;to stageⅠb were 85.0%,82.4%,83.8%,85.0%,82.4%;to stageⅠc were 84.6%,95.8%,91.9%,91.7%,92.0%.Conclusion：Correct judgement of contrast-enhanced ultrasound manifestations of stageⅠendometrial carcinoma can improve its diagnosis and differential diagnosis.contrast-enhanced ultrasound has considerable value in judging the myometrial invasion and local-regional staging of stageⅠ endometrial carcinoma.
出处
《陕西医学杂志》
CAS
2012年第1期80-83,共4页
Shaanxi Medical Journal
关键词
子宫内膜肿瘤/超声检查
磁共振波谱学
Endometrial neoplasms/ultrastructure Magnatic resonance spectroscopy
