中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2011年
7期
598-601
,共4页
裴小青%谢艳君%李毓红%熊永红%郑玮%李安华
裴小青%謝豔君%李毓紅%熊永紅%鄭瑋%李安華
배소청%사염군%리육홍%웅영홍%정위%리안화
超声检查%微气泡%子宫内膜肿瘤%肿瘤分期
超聲檢查%微氣泡%子宮內膜腫瘤%腫瘤分期
초성검사%미기포%자궁내막종류%종류분기
Ultrasonography%Microbubbles%Endometrial neoplasms%Neoplasm staging
目的 探讨超声造影是否有助于区分子宫内膜癌IA期和IB期.方法 对经诊刮证实为子宫内膜癌的76例患者进行经腹超声及超声造影检查,选取48例手术后病理证实为子宫内膜癌I期的患者进行研究.以术后病理为金标准,检验常规经腹超声和超声造影诊断子宫内膜癌IA期(无肌层侵犯或侵犯浅肌层)和IB期(侵犯深肌层)的效能.结果 21例(43.75%,21/48) 子宫内膜癌增强早于或等于周边肌层及宫颈,其中12例为IA期,9例为IB期(P<0.05);27例(56.25%,27/48) 增强晚于肌层及宫颈.经腹常规超声和超声造影判断IB期子宫内膜癌的敏感性、特异性、阳性预测值、阴性预测值及准确率分别为 61.25% 对 69.23%,77.14% 对 85.71%,50.00% 对 64.28%,72.92% 对 88.23%,72.92% 对 81.25%,两种方法诊断子宫内膜癌IA期和IB期的差异无统计学意义(P>0.05).结论 超声造影判断I期子宫内膜癌侵犯肌层深度方面没有显著的优势.
目的 探討超聲造影是否有助于區分子宮內膜癌IA期和IB期.方法 對經診颳證實為子宮內膜癌的76例患者進行經腹超聲及超聲造影檢查,選取48例手術後病理證實為子宮內膜癌I期的患者進行研究.以術後病理為金標準,檢驗常規經腹超聲和超聲造影診斷子宮內膜癌IA期(無肌層侵犯或侵犯淺肌層)和IB期(侵犯深肌層)的效能.結果 21例(43.75%,21/48) 子宮內膜癌增彊早于或等于週邊肌層及宮頸,其中12例為IA期,9例為IB期(P<0.05);27例(56.25%,27/48) 增彊晚于肌層及宮頸.經腹常規超聲和超聲造影判斷IB期子宮內膜癌的敏感性、特異性、暘性預測值、陰性預測值及準確率分彆為 61.25% 對 69.23%,77.14% 對 85.71%,50.00% 對 64.28%,72.92% 對 88.23%,72.92% 對 81.25%,兩種方法診斷子宮內膜癌IA期和IB期的差異無統計學意義(P>0.05).結論 超聲造影判斷I期子宮內膜癌侵犯肌層深度方麵沒有顯著的優勢.
목적 탐토초성조영시부유조우구분자궁내막암IA기화IB기.방법 대경진괄증실위자궁내막암적76례환자진행경복초성급초성조영검사,선취48례수술후병리증실위자궁내막암I기적환자진행연구.이술후병리위금표준,검험상규경복초성화초성조영진단자궁내막암IA기(무기층침범혹침범천기층)화IB기(침범심기층)적효능.결과 21례(43.75%,21/48) 자궁내막암증강조우혹등우주변기층급궁경,기중12례위IA기,9례위IB기(P<0.05);27례(56.25%,27/48) 증강만우기층급궁경.경복상규초성화초성조영판단IB기자궁내막암적민감성、특이성、양성예측치、음성예측치급준학솔분별위 61.25% 대 69.23%,77.14% 대 85.71%,50.00% 대 64.28%,72.92% 대 88.23%,72.92% 대 81.25%,량충방법진단자궁내막암IA기화IB기적차이무통계학의의(P>0.05).결론 초성조영판단I기자궁내막암침범기층심도방면몰유현저적우세.
Objective To evaluate the accuracy of contrast enhanced ultrasonography (CEUS) in determining the depth of myometrial invasion in endometrial carcinoma in stage Ⅰ.Methods Seventy-six patients previously diagnosed of endometrial carcinoma by curettage of uterine underwent transabdominal sonography (TAS) and CEUS to assess myometrial invasion,among which 48 patients proved to endometrial carcinoma in stage Ⅰ after total abdominal hysterectomy and bilateral salpingo-oophorectomy were studied.The findings of TAS and CEUS to determine endometrial carcinoma IA (no myometrial involvement or invasion of the inner half of the myometrium) and IB( invasion of the outer half of the myometrium) were compared with pathology after abdominal hysterectomy.Results Twenty one tumours (43.75%,21/48) were enhanced earlier than or simultaneously as myometrium and cervix,among which 12 cases were IA stages,while 9 cases were IB stages (P<0.05);and 27 tumors (56.25%,27/48)were enhanced late than myometrium and cervix.There was no statistical difference between TAS and CEUS in detecting endometrial carcinoma in IA and IB(P>0.05).The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of TAS and CEUS in diagnosing endometrial carcinoma in IB were 61.25% vs 69.23%,77.14% vs 85.71%,50.00% vs 64.28%,72.92% vs 88.23%,72.92% vs 81.25% respectively.Conclusions CEUS is not superior to TAS in detecting deep invasion of endometrial carcinoma in stage Ⅰ.
