超声造影在诊断子宫内膜癌肌层浸润的价值探讨

Application of contrast-enhanced ultrasound in the myometrial invasion of endometrial carcinoma

目的:探讨超声造影术在子宫内膜癌肌层浸润程度中的应用价值。方法:对28例诊刮确诊为子宫内膜癌的患者进行超声造影检查,判断其肌层浸润的情况,并与术后病理结果进行对照。结果:超声造影对子宫内膜癌肌层浸润程度的诊断总正确率75.0%,超声造影与病理检查方法存在高度一致性(P<0.01)。超声造影在诊断肌层浸润及深肌层浸润的敏感性、特异性、阳性预测值、阴性预测值、准确性分别为90.0%、75.0%、90.0%、75.0%、85.7%和100.0%、82.6%5、5.6%、100.0%、85.7%。结论:超声造影对临床术前判断子宫内膜癌肌层浸润程度有一定的指导意义。

Objective：To investigate the potential usefulness of contrast-enhanced ultrasound in the preoperative evaluation endometrial carcinoma. Methods：Twenty-eight patients with endometrial carcinoma that were confirmed by pathological examination after diagnostic curettage underwent real-time gray scale contrast-enhanced ultrasound examination.And the results were compared with postoperative pathological examination results. Results：Contrast-enhanced ultrasound exist in the consistency with pathological examination in the myometrial invasion degree of endometrial cancer（P0.01）.The sensitivity,specificity,positive predictive value,negative predictive value,accuracy of contrast-enhanced ultrasound detecting myometrial invasion and deep myometrial invasion of endometrial carcinoma were 90.0%,75.0%,90.0%,75.0%,85.7% and 100.0%,82.6%,55.6%,100.0%,85.7%. Conclusions：Preoperative contrast-enhanced ultrasound is helpful to the diagnosis of degree of myometrial invasion in endometrial carcinoma.