阴道超声和MRI联合检查在早期子宫内膜癌术前分期中的诊断价值

Diagnostic Value of Vaginal Ultrasound Combined with MRI in Preoperative Staging of Early Endometrial Carcinoma

目的探讨阴道超声和MRI联合检查在早期子宫内膜癌术前分期中的诊断价值。方法选取2017年12月至2018年12月在我院接受治疗的114例子宫内膜癌患者为研究对象,术前进行阴道超声和MRI检查,比较阴道超声、 MRI以及阴道超声联合MRI的准确率。结果术后病理分期:Ⅰ期82例,Ⅱ期32例。以术后病理分期作为标准,阴道超声联合MRI检查对Ⅰ期、Ⅱ期的诊断准确率分别为92.68%、 96.87%,显著高于术前超声检查对Ⅰ期、Ⅱ期的诊断准确率85.37%、 84.38%,以及术前MRI检查对Ⅰ期、Ⅱ期的诊断准确率89.02%、 81.25%,差异有统计学意义(P <0.05)。结论阴道超声和MRI联合检查在早期子宫内膜癌术前分期中的诊断准确率较高。

Objective To explore the diagnostic value of transvaginal ultrasound combined with MRI in preoperative staging of early endometrial carcinoma. Methods 114 patients with endometrial carcinoma admitted to our hospital from December 2017 to December 2018 were selected as research objects. Before operation, the patients were examined by transvaginal ultrasound and MRI. The accuracy rates of transvaginal ultrasound, MRI, and transvaginal ultrasound combined with MRI were compared. Results Postoperative pathological staging showed 82 cases of phase Ⅰ and 32 cases of phase Ⅱ. With postoperative pathological staging as a standard, the diagnostic accuracy rates for phase Ⅰ and phase Ⅱ of transvaginal ultrasound combined with MRI were 92.68% and 96.87% respectively, significantly higher than85.37% and 84.38% of preoperative ultrasound, and 89.02% and 81.25% of preoperative MRI(P <0.05). Conclusions Transvaginal ultrasound combined with MRI has a higher diagnostic accuracy in preoperative staging of early endometrial carcinoma.