CAJ | 학술논문

目的探讨经阴道彩色多普勒超声(TVCDS)对子宫内膜癌筛查及术前分期评估的作用.方法应用TVCDS筛查子宫内膜癌高危因素妇女713例,观察子宫内膜形态及病灶的部位、大小、回声、边缘是否规整,测量子宫内膜厚度,内膜与肌层交界面弱回声晕的完整性及病灶内血流,检测阻力指数(RI),判断内膜癌及其肌层浸润程度.根据1988年国际妇产科联盟(FIGO)手术分期标准及磁共振成像(MRI)分期方法,将子宫内膜癌分为Ⅰ～Ⅳ期,并将TVCDS诊断与分期结果与手术病理对照.结果在713例高危人群中TVCDS诊断子宫内膜癌100例,经手术病理证实的子宫内膜癌96例,TVCDS诊断和分期的符合率分别为96%(96/100)和94%(94/100).结论应用TVCDS诊断子宫内膜癌并能确切分期,为临床制定治疗方案、判断预后提供了可靠依据,具有临床应用价值.
목적 탐토경음도채색다보륵초성(TVCDS)대자궁내막암사사급술전분기평고적작용.방법 응용TVCDS사사자궁내막암고위인소부녀713례,관찰자궁내막형태급병조적부위、대소、회성、변연시부규정,측양자궁내막후도,내막여기층교계면약회성훈적완정성급병조내혈류,검측조력지수(RI),판단내막암급기기층침윤정도.근거1988년국제부산과련맹(FIGO)수술분기표준급자공진성상(MRI)분기방법,장자궁내막암분위Ⅰ～Ⅳ기,병장TVCDS진단여분기결과여수술병리대조.결과 재713례고위인군중TVCDS진단자궁내막암100례,경수술병리증실적자궁내막암96례,TVCDS진단화분기적부합솔분별위96%(96/100)화94%(94/100).결론 응용TVCDS진단자궁내막암병능학절분기,위림상제정치료방안、판단예후제공료가고의거,구유림상응용개치.
Objective To examine the evaluative effect of preoperative transvaginal color Doppler sonography (TVCDS) screening and phasing of endometrial carcinoma. Methods A total of 713jeopardized endometrial carcinoma patients were screened by TVCDS. The investigators observed the endometrium form, focus location, size and echo, measured the endometrium thickness, judged the regularity and integrity of edge, the integrity of faint echo halos at the interface between endometrium and muscularis and the blood flow inside focus, examined resistance index and determined endometrial carcinoma as well as muscularis infiltrating extent. According to the FIGO's phasing scheme in 1988, endometrial carcinoma was divided into Ⅰ , Ⅱ , Ⅲ and Ⅳ phases so as to compare the results of TVCDS in screening and phasing of endometrial carcinoma with that of operative pathology. Results One hundred cases were diagnosed as endometrial carcinoma. Among which, 96 were proved by surgical pathology as endometrial carcinoma. The rates of TVCDS screening and phasing coincidence were 96% (96/100) and 94% (94/100) respectively. Conclusion The application of TVCDS may diagnose and stage the cases of endometrial carcinoma. It is a valuable tool for selecting therapeutic regimens and making prognostic evaluations.