CAJ | 학술논문

目的：比较经阴道彩色多普勒超声、磁共振动态增强对子宫内膜癌的临床诊断价值。方法：回顾性分析经手术与病理证实的30例同时做过阴道超声与MR的子宫内膜癌病例，对其二维声像图及CDFI特点与磁共振动态增强影像学表现，对照病理结果进行回顾性分析。结果：经阴道彩色多普勒与MR动态增强扫描在对子宫内膜癌诊断中两者对发现内膜异常的敏感性基本一致分分别为96．66％和100％，而对于恶性病灶诊断正确率则MR高于阴道彩色多普勒超声，分别为51．72％和76．66％。结论：用经阴道彩色多普勒超声对患者子宫内膜癌病变情况做全面检查，简单易行，对发现内膜异常的敏感度较高；MR由于其空间分辨力及软组织分辨力高，对于子宫内膜癌的术前诊断正确率较高，适用于超声检查难以定性的病变及子宫内膜癌的术前分期评估。
목적：비교경음도채색다보륵초성、자공진동태증강대자궁내막암적림상진단개치。방법：회고성분석경수술여병리증실적30례동시주과음도초성여MR적자궁내막암병례，대기이유성상도급CDFI특점여자공진동태증강영상학표현，대조병리결과진행회고성분석。결과：경음도채색다보륵여MR동태증강소묘재대자궁내막암진단중량자대발현내막이상적민감성기본일치분분별위96．66％화100％，이대우악성병조진단정학솔칙MR고우음도채색다보륵초성，분별위51．72％화76．66％。결론：용경음도채색다보륵초성대환자자궁내막암병변정황주전면검사，간단역행，대발현내막이상적민감도교고；MR유우기공간분변력급연조직분변력고，대우자궁내막암적술전진단정학솔교고，괄용우초성검사난이정성적병변급자궁내막암적술전분기평고。
Objective:To compare the clinical diagnostic value of endometrial carcinoma between the transvaginal color doppler ul-trasound, MRI dynamic enhancement.Methods:A retrospective analysis confirmed by surgery and pathology of 30 cases done vaginal ultrasonography and at the same time MR cases of endometrial carcinoma, the two-dimensional ultrasonographic characteristics and dynamic enhanced magnetic resonance imaging findings, and of a CDFI control the pathological results were retrospectively analyzed. Results:The transvaginal color doppler and MR dynamic enhancement scanning in the diagnosis of endometrial carcinoma in the sensi-tivity to the endometrium abnormality in basic are the same points were 96.66%and 100%respectively, while MR diagnostic accuracy for malignant lesions is higher than vaginal color doppler ultrasound, 51.72% and 76.66%, respectively.Conclusion: using trans-vaginal color doppler flow imaging in patients with endometrial cancer changed conditions for a comprehensive test,which is, easy to find the sensitivity of the endometrium abnormality higher;MR due to its high spatial resolution and soft tissue resolution, accuracy is higher, therefore it is adopted to the preoperative diagnosis of endometrial carcinoma which is difficult to qualitative ultrasonic lesions and preoperative staging of endometrial carcinoma.