摘要
目的对比超声造影与阴道彩超对子宫内膜癌的诊断准确性。方法选取两家医院经手术、病理证实为子宫内膜癌的患者50例作为研究对象,对50例患者术前阴道彩超与超声造影的检查结果进行对比分析。结果 50例子宫内膜癌患者中,超声造影清晰显示46例子宫内膜癌病灶,诊断准确率为92.0%,其中38例(82.6%,38/46)表现为早增强,8例(17.4%,8/46)为晚增强;20例(43.5%,20/46)表现为早廓清,26例(56.5%,26/46)为晚廓清。超声造影血流分级Ⅰ级4例(8.7%,4/46),Ⅱ级42例(91.3%,42/46),未见0级病例。阴道彩超检出40例,诊断准确率80.0%,血流分级0级10例(20.0%,10/50),Ⅰ级26例(52.0%,26/50),Ⅱ级14例(28.0%,14/50)。超声造影诊断准确率明显高于阴道彩超,差异有统计学意义(P<0.05)。结论超声造影较阴道彩超对子宫内膜癌病变的诊断准确率高,血流信息敏感性存在明显优越性,超声造影对子宫内膜癌的术前诊断与临床处理方案的选择具有一定的指导意义。
Objective The edometrial cancer patients routine transvaginal color Doppler ultrasound and contrast-enhanced ultrasound, the contrastive study of ultrasound contrast than conventional ultrasonography in the accuracy of diagnosis of endometrial cancer. Methods To choose patients who have been diagnosed suspect endometrial carcinoma and take transvaginal color ultrasound and ultrasound imaging, 50 of them are diagnosed Endometrial carcinoma by surgery pathology. Results Ultrasound imaging clearly shows 46 endometrial carcinoma lesions, among which 38 cases （ 82. 6% , 40/46 ） are early enhanced, 8 cases （ 17.4 % , 8/46 ） are late enhanced; 20 cases （ 43.5 % , 20/46 ） are early wash-in, 26 cases （ 56. 5 % , 26/46 ） are late wash-in, according to ultrasound imaging blood grading, 4 patients are grade Ⅰ, 42 patients are grade Ⅱ and no grade 0 patients. According to CDFI blood gradingl 0 （ 20. 0%, 10/50） patients are grade 0, 26 （52. 0%, 26/50 ） patients are grade Ⅰ, 14 （28.0%, 14/50 ） patients are grade Ⅱ. Conclusion Ultrasound imaging has obvious advantage in the display of endometrial carcinoma lesions comparing to the conventional ultrasound, especially in the blood grading information. Ultrasound imaging has guiding meaning in the diagnosis before the surgery and the therapy plan.
出处
《四川医学》
CAS
2014年第8期1045-1048,共4页
Sichuan Medical Journal
关键词
超声造影
子宫内膜癌
肌层浸润
ultrasound imaging
endometrial carcinoma
muscle invasion
