中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
21期
52-53
,共2页
MRI%子宫内膜癌%术前%分期诊断
MRI%子宮內膜癌%術前%分期診斷
MRI%자궁내막암%술전%분기진단
MRI%Endometrial cancer%Preoperative%Staging
目的：探讨MRI用于子宫内膜癌术前分期诊断中的方式与效果。方法：选取2011年1月-2013年6月笔者所在医院收治的50例经手术病理证实的子宫内膜癌患者，回顾性分析全组患者术前MRI检查图像，了解原发肿瘤信号特点、盆腔淋巴结转移情况、肌层浸润深度等征象，根据2009年国际妇产科联盟(FIGO)标准行术前MRI分期，对比术后病理结果。结果：本组患者MRI检查显示子宫体积增大40例，子宫大小正常6例，子宫萎缩4例；内膜厚度正常者5例，子宫内膜弥漫性不规则增厚27例，内膜局限不规则增厚18例。患者MRI术前检查与手术病理检查结果均为Ⅰa期33例、Ⅰb期9例、Ⅱ期5例、Ⅲ期2例、Ⅳ期1例，MRI术前检查与手术病理检查结果完全相符(准确度100%)，浸润浅肌层(Ⅰa期)患者占绝大多数。结论：子宫内膜癌术前MRI检查可清晰观察到肿瘤灶范围、浸润深度、淋巴结转移情况，更准确地完成术前分期，便于科学制定手术计划和预后评估方案。
目的：探討MRI用于子宮內膜癌術前分期診斷中的方式與效果。方法：選取2011年1月-2013年6月筆者所在醫院收治的50例經手術病理證實的子宮內膜癌患者，迴顧性分析全組患者術前MRI檢查圖像，瞭解原髮腫瘤信號特點、盆腔淋巴結轉移情況、肌層浸潤深度等徵象，根據2009年國際婦產科聯盟(FIGO)標準行術前MRI分期，對比術後病理結果。結果：本組患者MRI檢查顯示子宮體積增大40例，子宮大小正常6例，子宮萎縮4例；內膜厚度正常者5例，子宮內膜瀰漫性不規則增厚27例，內膜跼限不規則增厚18例。患者MRI術前檢查與手術病理檢查結果均為Ⅰa期33例、Ⅰb期9例、Ⅱ期5例、Ⅲ期2例、Ⅳ期1例，MRI術前檢查與手術病理檢查結果完全相符(準確度100%)，浸潤淺肌層(Ⅰa期)患者佔絕大多數。結論：子宮內膜癌術前MRI檢查可清晰觀察到腫瘤竈範圍、浸潤深度、淋巴結轉移情況，更準確地完成術前分期，便于科學製定手術計劃和預後評估方案。
목적：탐토MRI용우자궁내막암술전분기진단중적방식여효과。방법：선취2011년1월-2013년6월필자소재의원수치적50례경수술병리증실적자궁내막암환자，회고성분석전조환자술전MRI검사도상，료해원발종류신호특점、분강림파결전이정황、기층침윤심도등정상，근거2009년국제부산과련맹(FIGO)표준행술전MRI분기，대비술후병리결과。결과：본조환자MRI검사현시자궁체적증대40례，자궁대소정상6례，자궁위축4례；내막후도정상자5례，자궁내막미만성불규칙증후27례，내막국한불규칙증후18례。환자MRI술전검사여수술병리검사결과균위Ⅰa기33례、Ⅰb기9례、Ⅱ기5례、Ⅲ기2례、Ⅳ기1례，MRI술전검사여수술병리검사결과완전상부(준학도100%)，침윤천기층(Ⅰa기)환자점절대다수。결론：자궁내막암술전MRI검사가청석관찰도종류조범위、침윤심도、림파결전이정황，경준학지완성술전분기，편우과학제정수술계화화예후평고방안。
Objective:To evaluate the MRI for preoperative staging of endometrial cancer diagnosis manner and effect.Method:50 patients with pathologically confirmed endometrial cancer patients from January 2011 to June 2013 in our hospital were retrospectively analyzed,the MRI image was analyzed for all patients before surgery,to understand the signal characteristics of the primary tumor,pelvic lymph node metastasis,myometrial invasion and other signs. According to the 2009 International Union of Gynecology and Obstetrics(FIGO) staging before the standard preoperative MRI and postoperative pathological findings were contrasted.Result:MRI examination of the patient group showed uterine volume increased 40 cases,6 cases of normal uterine size,uterine atrophy 4 cases, endometrial thickness was normal in 5 cases,27 cases of endometrial diffuse irregular thickening,18 cases of endometrial limitations irregular thickening.Patients MRI preoperative and surgical pathology results wereⅠa period 33 cases,Ⅰb in 9 cases,Ⅱin 5 cases,Ⅲin 2 cases,Ⅳstage 1 case,MRI preoperative examination and surgical pathology results matched exactly(accurate degree 100%),superficial myometrial invasion (Ⅰa period) were the vast majority of patients. Conclusion:The preoperative endometrial carcinoma can be clearly observed in MRI,such as the tumor foci range,depth of invasion,lymph node metastasis, the completion of a more accurate preoperative staging,it can scientifically formulate to facilitate surgical planning and prognosis assessment program.
