CAJ | 학술논문

目的：对比超声造影与阴道彩超对子宫内膜癌的诊断准确性。方法选取两家医院经手术、病理证实为子宫内膜癌的患者50例作为研究对象,对50例患者术前阴道彩超与超声造影的检查结果进行对比分析。结果50例子宫内膜癌患者中,超声造影清晰显示46例子宫内膜癌病灶,诊断准确率为92．0%,其中38例(82．6%,38/46)表现为早增强,8例(17．4%,8/46)为晚增强；20例(43．5%,20/46)表现为早廓清,26例(56．5%,26/46)为晚廓清。超声造影血流分级Ⅰ级4例(8．7%,4/46),Ⅱ级42例(91．3%,42/46),未见0级病例。阴道彩超检出40例,诊断准确率80．0%,血流分级0级10例(20．0%,10/50),Ⅰ级26例(52．0%,26/50),Ⅱ级14例(28．0%,14/50)。超声造影诊断准确率明显高于阴道彩超,差异有统计学意义(P<0．05)。结论超声造影较阴道彩超对子宫内膜癌病变的诊断准确率高,血流信息敏感性存在明显优越性,超声造影对子宫内膜癌的术前诊断与临床处理方案的选择具有一定的指导意义。
목적：대비초성조영여음도채초대자궁내막암적진단준학성。방법선취량가의원경수술、병리증실위자궁내막암적환자50례작위연구대상,대50례환자술전음도채초여초성조영적검사결과진행대비분석。결과50례자궁내막암환자중,초성조영청석현시46례자궁내막암병조,진단준학솔위92．0%,기중38례(82．6%,38/46)표현위조증강,8례(17．4%,8/46)위만증강；20례(43．5%,20/46)표현위조곽청,26례(56．5%,26/46)위만곽청。초성조영혈류분급Ⅰ급4례(8．7%,4/46),Ⅱ급42례(91．3%,42/46),미견0급병례。음도채초검출40례,진단준학솔80．0%,혈류분급0급10례(20．0%,10/50),Ⅰ급26례(52．0%,26/50),Ⅱ급14례(28．0%,14/50)。초성조영진단준학솔명현고우음도채초,차이유통계학의의(P<0．05)。결론초성조영교음도채초대자궁내막암병변적진단준학솔고,혈류신식민감성존재명현우월성,초성조영대자궁내막암적술전진단여림상처리방안적선택구유일정적지도의의。
Objective The edometrial cancer patients routine transvaginal color Doppler ultrasound and contrast-enhanced ultrasound, the contrastive study of ultrasound contrast than conventional ultrasonography in the accuracy of diagnosis of endometri-al cancer. Methods To choose patients who have been diagnosed suspect endometrial carcinoma and take transvaginal color ul-trasound and ultrasound imaging, 50 of them are diagnosed Endometrial carcinoma by surgery pathology. Results Ultrasound im-aging clearly shows 46 endometrial carcinoma lesions, among which 38 cases ( 82. 6%, 40/46 ) are early enhanced, 8 cases (17. 4%,8/46) are late enhanced;20 cases(43. 5%,20/46) are early wash-in,26 cases(56. 5%,26/46) are late wash-in. ac-cording to ultrasound imaging blood grading, 4 patients are grade I, 42 patients are grade II and no grade 0 patients. According to CDFI blood grading10(20. 0%,10/50)patients are grade 0, 26(52. 0%,26/50)patients are grade I, 14(28. 0%,14/50)patients are grade II. Conclusion Ultrasound imaging has obvious advantage in the display of endometrial carcinoma lesions comparing to the conventional ultrasound, especially in the blood grading information. Ultrasound imaging has guiding meaning in the diagnosis before the surgery and the therapy plan.