阴道彩色多普勒超声、MRI及宫腔镜在子宫内膜癌诊断及分期中的应用

Application of Transvaginal Color Doppler Ultrasonography,MRI and Hysteroscopy in the Diagnosis and Staging of Endometrial Cancer

目的分析阴道彩色多普勒超声(Transvaginal color doppler ultrasonography,TVCDS)、磁共振成像(Magnetic Resonance Imaging,MRI)及宫腔镜在子宫内膜癌诊断及分期中的应用价值。方法选取我院收治的26例疑似子宫内膜癌患者临床及影像资料,均行TVCDS、MRI与宫腔镜检查,以手术病理为"金标准",比较3中检查方式诊断与分期的准确性、灵敏度、特异度。结果26例患者中,24例(92.31%)子宫内膜癌;MRI诊断正确20例(83.33%),TVCDS诊断正确22例(91.67%),宫腔镜诊断正确23例(95.83%),3种检查方式诊断准确率比较无明显差异(P>0.05);MRI诊断分期Kappa值0.452,TVCDS诊断分期Kappa值0.619,宫腔镜诊断分期Kappa值0.716。结论TVCDS、MRI与宫腔镜均能准确诊断子宫内膜癌,3种检查方式对子宫内膜癌分期均与病理结果一致。

Objective To analyze the application value of transvaginal color doppler ultrasonography(TVCDS),magnetic resonance imaging(MRI)and hysteroscopy in the diagnosis and staging of endometrial cancer.Methods A total of 26 patients with suspected endometrial cancer admitted to the hospital were enrolled into the study.They were given TVCDS,MRI and hysteroscopy examination.Taking the surgical pathology as the golden standard,the accuracy,sensitivity and specificity of the diagnosis and staging by three methods were compared.Results There were 26 patients in total,and there were 24(92.31%)cases of endometrial cancer.The comfirmed cases of MRI,TVCDS and hysteroscopy examination were 20(83.33%),22(91.67%)and 23(95.83%),respectively.There was no significant difference in the diagnostic accuracy by the three examination methods(P>0.05).The Kappa values of staging diagnosed by MRI,TVCDS and hysteroscopy were 0.452,0.619 and 0.716,respectively.Conclusion TVCDS,MRI and hysteroscopy can be used to diagnose endometrial cancer accurately.The staging of endometrial cancer by the three methods is consistent with the pathological results.