彩色多普勒超声诊断子宫内膜癌与临床病理的一致性研究

Study on the consistency of color Doppler ultrasonography in diagnosis of endometrial carcinoma and the clinicopathology

目的:研究彩色多普勒超声诊断子宫内膜癌的临床应用价值及临床病理诊断与彩色多普勒超声诊断的相关性情况。方法:以我院2015年7月至2016年7月收治的721例子宫内膜癌高危者为研究对象,对其术前彩色多普勒超声检查情况及术后病理情况进行比较,对肌层浸润符合情况、血流阻力指数、搏动指数、肿瘤分化程度情况等进行相关性分析。结果:彩色多普勒超声诊断子宫内膜癌患者97例,术后病理证实为子宫内膜癌93例,彩色多普勒超声检查诊断符合率为95.88%,肌层浸润符合率情况由高至低排列为无肌层浸润、浅肌层浸润、深肌层浸润,肿瘤分化、浸润程度、血流阻力指数、血流搏动指数均与肌层浸润情况相关,组间差异具有统计学意义(P<0.05)。结论:彩色多普勒超声检查诊断子宫内膜癌准确性较高,对肌层浸润程度判定及治疗方案制定均具有重要意义。

Objectives： To study the clinical value of color Doppler ultrasonography in the diagnosis of endometrial carcinoma and the correlation between clinicopathologic diagnosis and color Doppler ultrasonography.Methods： 721 patients with high risk of endometrial cancer in our hospital from July 2015 to July 2016 were enrolled in this study. Their preoperative color Doppler ultrasonography and postoperative pathology were compared.Myometrial invasion compliance,blood flow resistance index,pulsatility index and the degree of tumor differentiation were analyzed. Results： Among the 97 cases of endometrial cancer diagnosed by Color Doppler ultrasound,there were 93 cases of endometrial cancer confirmed by pathology,the accuracy of Color Doppler ultrasound being95. 88%. Myometrial invasion compliance,blood flow resistance index,pulsatility index and the degree of tumor differentiation were correlated with myometrial invasion. Conclusion： The accuracy of color Doppler ultrasonography in the diagnosis of endometrial carcinoma is high,which is important for judging the degree of myometrial invasion and developing the treatment plan.