经阴道彩色多普勒超声在子宫内膜癌诊断中的价值

Diagnostic value of transvaginal color Doppler sonography for endometrial cancer

目的探讨经阴道彩色多普勒超声检查(TV-CDS)对子宫内膜癌的诊断价值。方法总结42例经病理证实的子宫内膜癌患者的术前TV-CDS结果,并将肌层浸润情况与术后组织病理学结果对比,分析子宫内膜癌在不同临床分期中的声像图特征。结果TV-CDS诊断子宫内膜癌的符合率为95.24%,判断肌层浸润的检出率为93.33%,准确判断出80.95%患者的肌层浸润深度。结论TV-CDS能为子宫内膜癌的诊断及临床分期提供有价值的依据。

Objective To study the value of tr ansvaginal color Doppler sonography (TV-CDS) in the diagnosis of endometrial ca ncer. Method In this study we selected 42 pathologically defined endometrial can cer cases, and the preoperative TV-CDS results were reviewed and the myome trial invasion investigated in comparison with the postoperative histopa thological findings, for extracting the ultrasonographic features of this malig nancy in different clinical stages. Results TV-CDS yielded the diagnoses of end ometrial cancer that were highly consistent (with a rate of 95.24%) with the pat hological findings, and was also capable of detecting myometrial invasion in 93 .33% of the cases. The depth of myometrial invasion is accurately defined by TV-CDS in 80.95% of the cases. Conclusion TV-CDS provides valuables evidence for t he diagnosis and clinical staging of endometrial cancer.