经阴道二维及彩色多普勒超声诊断子宫内膜癌的研究

Study of Transvaginal 2D-US and Color Doppler US on Diagnosis of Uterus Endothelial Carcinoma

目的 探讨经阴道二维及彩色多普勒超声诊断子宫内膜癌的价值。方法 回顾性分析我院 1996年至 2 0 0 1年 4月间经手术病理证实的 86例子宫内膜癌的经阴道彩色多普勒超声声像图特征。结果 术前彩色多普勒超声对子宫内膜癌的诊断符合率为 87.2 1% ,子宫动脉血流频谱RI平均 0 .79± 0 .0 8,病灶内血流频谱RI平均 0 .43± 0 .14。结论 术前经阴道二维及彩色多普勒超声检查对子宫内膜癌具有较高的诊断率 ,为临床诊断及治疗提供大量信息 。

Objective To study the value of transvaginal 2D ultrasonography and color Doppler US in the diagnosis of uterus endothelial carcinoma. Methods The features of sonographic morphology on color Doppler ultrasonography of 86 cases were analysed retrospectively. Results The diagnostic accuracy rate was 87.21%,with RI in uterus artery 0.79±0.08,RI in tumors 0.43±0.14.According to the characteristic of sonographic morphology,this group of uterus endothelial carcinoma conld be defined as:①hyperplasia endometria,②intensive light spot,③light ball,④alveolate,⑤hydrops of uterine cavity. Conclusion Transvaginal 2D US and color Doppler US provided high diagnostic accurate and reference for the diagnosis of uterus endothelial carcinoma.