经阴道彩色多普勒超声在子宫内膜癌新分期中的价值研究

Value of transvaginal color Doppler sonography in new preoperative staging of endometrial carcinoma

目的:评价经阴道彩色多普勒超声(transvaginal color Doppler sonography,TVCDS)在子宫内膜癌病变2009国际妇产科联盟(International Federation of Gynecology and Obstetrics,FIGO)新分期中的价值。方法:对经病理证实的31例子宫内膜癌病例进行TVCDS诊断及分期,并与病理结果对照。结果:子宫内膜癌的超声图像特征:混合回声团内见微小无回声区及纤维状稍高回声、小片状低回声区,有助于超声对内膜癌的诊断。依据2009 FIGO分期,超声对Ⅰa、Ⅰb及Ⅱ期内膜癌的分期准确率分别为80%、83.33%及100%。结论:TVCDS对子宫内膜癌的诊断具有较高价值,对Ⅰ期和Ⅱ期内膜癌患者的分期准确率较高。

Objective：To analyze transvaginal color Doppler sonography （TVCDS） features of endometrial carcinoma and its value in endometrial carcinoma staging according to the 2009 International Federation of Gynecology and Obstetrics （FIGO） staging criteria.Methods：The data of 31 patients with endometrial carcinoma who underwent TVCDS examination and then were proved by pathology were analyzed retrospectively.Results：Imaging characteristics of endometrial carcinoma was mixed-echoic mass with tiny echoless, ifbrous hyper-echoic and patchy hypo-echoic inside. According to 2009 FIGO staging, the accuracy rates of TVCDS in assessing endometrial carcinoma staging Ia,Ⅰb andⅡ were 80%, 83% and 100%, respectively.Conclusion：TVCDS has great value in diagnosing and assessing preoperative staging of endometrial carcinoma.