CAJ | 학술논문

目的评价三维断层超声成像(TUI)技术在宫颈癌术前分期中的应用价值.方法对87例经组织活检确诊为富颈癌患者进行经阴道TUI检查,并参考FIGO(2009)分期标准对患者进行超声术前分期,以手术病理结果或盆腔磁共振(MR)检查结果为金标准,比较超声术前分期和临床术前分期的准确性.结果使用TUI技术对宫颈癌术前分期的准确率较临床分期准确率高,差异有统计学意义(91.95％对81.60％,P＜0.05).其中,ⅡB期超声术前分期准确率为90％,临床术前分期准确率为30％,差异有统计学意义(P＜0.05).结论与临床术前分期相比,TUI技术有助于提高宫颈癌术前分期准确率,是一项较有临床价值的检查方法.
목적 평개삼유단층초성성상(TUI)기술재궁경암술전분기중적응용개치.방법 대87례경조직활검학진위부경암환자진행경음도TUI검사,병삼고FIGO(2009)분기표준대환자진행초성술전분기,이수술병리결과혹분강자공진(MR)검사결과위금표준,비교초성술전분기화림상술전분기적준학성.결과 사용TUI기술대궁경암술전분기적준학솔교림상분기준학솔고,차이유통계학의의(91.95％대81.60％,P＜0.05).기중,ⅡB기초성술전분기준학솔위90％,림상술전분기준학솔위30％,차이유통계학의의(P＜0.05).결론 여림상술전분기상비,TUI기술유조우제고궁경암술전분기준학솔,시일항교유림상개치적검사방법.
Objective To evaluate the clinical value of tomography ultrasonic imaging (TUI) in staging carcinomas of the cervix.Methods Eighty-seven patients with biopsy proven cervical cancer who underwent transvaginal TUI examination were enrolled.Clinical and ultrasonic staging were based on the FIGO staging system.Surgical-pathological or MR results was taken as golden standard.Ultrasonic staging were compared with clinical staging.Tumor sizes of 38 cases of cervical cancers measured by TUI were recorded and compared with the pathological results.Results The overall accuracy of preoperative TUI staging was higher than that of preoperative clinical staging (91.95 ％ vs 81.60 ％,P ＜0.01).Mean size of the 38 malignant tumors was 2.5 cm×2.1 cm×2.2 cm by TUI and 2.6 cm×2.1 cm×2.3 cm by pathological samples (P ＞ 0.05).Conclusions TUI technology may be useful in the noninvasive examination of preoperative staging of carcinoma cervix.