经阴道超声在盆腔肿瘤髂内淋巴转移诊断中的价值

Value of transvaginal ultrasound in diagnosis of internal iliac lymph nodes metastasis of cavitas pelvis tumor

目的探讨经阴道超声在盆腔肿瘤髂内淋巴结转移诊断中的应用价值。方法选择将接受广泛性子宫切除和盆腔淋巴清扫术治疗的盆腔肿瘤患者42例,术前采用经阴道超声检查髂内淋巴结情况,记录所发现淋巴结数量和大小,术中对切除髂内区组织内的淋巴结进行分离并测量记录送病理检查,与术前超声结果进行对照分析。结果 42例患者中,39例患者髂内淋巴超声检查结果与手术病理相符,准确率为92.8%(39/42),漏诊2例,误诊1例,其中11例患者存在髂内淋巴结转移,超声准确诊断9例;无转移患者31例,超声准确诊断30例。结论经阴道超声可有效诊断盆腔肿瘤髂内淋巴结转移,对肿瘤临床分期和治疗方案的选择有一定应用价值。

To explore the clinical application value of transvaginal ultrasound in diagnosis of internal iliac lymph nodes metastasis of eavitas pelvis tumor. Methods Fortytwo patients with cavitas pelvis tumor who received catholicity hysterectomia and cavitas pelvis lymph nodes scavenge treatment were enrolled in this study. The condition of internal iliac lymph nodes were examined by transvaginal ultrasound before operation, the number and size of lymph nodes were recorded. Tissue with internal iliac lymph nodes were dissociate from the main body and given pathology inspection, the results were comparatively analyzed. Results In 42 patients, 39 cases of internal iliae lymph nodes were consistent with pathology, the accuracy was 92.8% （39/42） , 2 cases were misdiagnosed and 1 case was missed diagnosed. In 11 patients with internal iliae lymph nodes metastasis, 9 cases were correctly diagnosed by transvaginal ultrasound, in 31 cases without internal iliae lymph nodes metastasis, 30 cases were correctly diagnosed by transvaginal ultrasound. Conclusion Transvaginal ultrasound can diagnose inteinal iliac lymph nodes metastasis of eavitas pelvis tumor effectively, it has high value in clinical stage definition of tumor and treatment scheme for clinic.