腹部超声、阴道超声与MRI诊断子宫内膜癌的临床价值

Clinical Value of Abdominal Ultrasound, Vaginal Ultrasound and MRI in Diagnosis of Endometrial Cancer

目的 研究腹部超声、阴道超声与MRI诊断子宫内膜癌的临床价值。方法 选取2017年5月至2019年5月我院收治的65例子宫内膜癌患者,所有患者术前均进行腹部超声、阴道超声以及MRI检查。对比并分析三种检查结果、图像清晰度。结果 阴道彩色超声准确率为93.84%(61/65),显著高于MRI检查81.53%(53/65)和腹部超声73.84%(48/65);MRI检查准确率显著高于腹部超声(P<0.05);阴道超声检查分期符合率显著高于MRI检查84.66%(44/53)和腹部超声检查71.23%(36/48)(P<0.05);MRI检查分期符合率显著高于腹部超声检查;阴道超声清晰度评分显著高于腹部超声和MRI检查;MRI检查清晰度评分显著高于腹部超声(P<0.05)。结论 阴道超声相比于腹部超声和MRI检查,诊断准确率更高,误诊率较低,术前分期诊断较好,MRI检查次之。

Objective To study the clinical value of abdominal ultrasound, vaginal ultrasound and MRI in the diagnosis of endometrial cancer. Methods sixty-five patients with endometrial cancer admitted to our hospital from May 2017 to May 2019 were enrolled for abdominal ultrasound, vaginal ultrasound and MRI. Results Of the three examinations and image definition were compared and analyzed. Results The accuracy of vaginal color ultrasound was significantly higher than that of MRI examination and abdominal ultrasound [93.84%(61/65) vs 81.53%(53/65) vs 73.84%(48/65)]. The accuracy rate of MRI examination was significantly higher than that of abdominal ultrasound(P<0.05). The staging coincidence rate of vaginal ultrasound examination was significantly higher than that of MRI examination [84.66%(44/53)] and abdominal ultrasound examination [71.23%(36/48)](P<0.05). The staging coincidence rate of MRI examination was significantly higher than that of abdominal ultrasound. The definition score of vaginal ultrasounds was significantly higher than that of abdominal ultrasound and MRI;The definition score of MRI examination was significantly higher than that of abdominal ultrasound(P<0.05). Conclusion Compared with abdominal ultrasound and MRI examination, vaginal ultrasound has higher diagnosis accuracy and lower misdiagnosis rate with good preoperative staging diagnosis, followed by MRI examination.