中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
10期
1487-1489
,共3页
子宫内膜癌%盆腔%淋巴结转移%超声检查
子宮內膜癌%盆腔%淋巴結轉移%超聲檢查
자궁내막암%분강%림파결전이%초성검사
Endometrial cancer%Pelvic%Lymph node metastasis%Ultrasonography
目的：探讨超声检查在子宫内膜癌盆腔淋巴结转移中的临床价值与意义。方法选取子宫内膜癌初治患者共60例，采取彩色多普勒超声仪（GE730型），检查子宫、阴道、附件和肿瘤的大小、内部回声边界、跟周围组织关系以及肿瘤四周和内部血流特点。结果60例子宫内膜癌患者中有50例超声检查结果与手术病理检查结果一致，其中都是阳性者45例（75．00％），假阴性8例（13．33％），假阳性2例（3．33％），均为阴性者5例（8．33％）。检测灵敏度为84．91％（45／53）；漏诊率为15．09％（8／53）；误诊率为28．57％（2／7）；特异性为71．43％（5／7）；Youden 指数为0．5634。子宫内膜癌肿瘤的阻力指数、CDFI 值与盆腔淋巴结转移有关，差异有统计学意义（P ＜0．05）。结论采用超声检查诊断子宫内膜癌盆腔淋巴结转移，超声诊断总准确率达83．33％，通过超声的声像图特征能够发现声像异常的患者，进而及时诊断出子宫内膜癌盆腔淋巴结转移，降低盲目治疗给女性带来的危险。
目的：探討超聲檢查在子宮內膜癌盆腔淋巴結轉移中的臨床價值與意義。方法選取子宮內膜癌初治患者共60例，採取綵色多普勒超聲儀（GE730型），檢查子宮、陰道、附件和腫瘤的大小、內部迴聲邊界、跟週圍組織關繫以及腫瘤四週和內部血流特點。結果60例子宮內膜癌患者中有50例超聲檢查結果與手術病理檢查結果一緻，其中都是暘性者45例（75．00％），假陰性8例（13．33％），假暘性2例（3．33％），均為陰性者5例（8．33％）。檢測靈敏度為84．91％（45／53）；漏診率為15．09％（8／53）；誤診率為28．57％（2／7）；特異性為71．43％（5／7）；Youden 指數為0．5634。子宮內膜癌腫瘤的阻力指數、CDFI 值與盆腔淋巴結轉移有關，差異有統計學意義（P ＜0．05）。結論採用超聲檢查診斷子宮內膜癌盆腔淋巴結轉移，超聲診斷總準確率達83．33％，通過超聲的聲像圖特徵能夠髮現聲像異常的患者，進而及時診斷齣子宮內膜癌盆腔淋巴結轉移，降低盲目治療給女性帶來的危險。
목적：탐토초성검사재자궁내막암분강림파결전이중적림상개치여의의。방법선취자궁내막암초치환자공60례，채취채색다보륵초성의（GE730형），검사자궁、음도、부건화종류적대소、내부회성변계、근주위조직관계이급종류사주화내부혈류특점。결과60례자궁내막암환자중유50례초성검사결과여수술병리검사결과일치，기중도시양성자45례（75．00％），가음성8례（13．33％），가양성2례（3．33％），균위음성자5례（8．33％）。검측령민도위84．91％（45／53）；루진솔위15．09％（8／53）；오진솔위28．57％（2／7）；특이성위71．43％（5／7）；Youden 지수위0．5634。자궁내막암종류적조력지수、CDFI 치여분강림파결전이유관，차이유통계학의의（P ＜0．05）。결론채용초성검사진단자궁내막암분강림파결전이，초성진단총준학솔체83．33％，통과초성적성상도특정능구발현성상이상적환자，진이급시진단출자궁내막암분강림파결전이，강저맹목치료급녀성대래적위험。
Objective To investigate the clinical value of ultrasonography in diagnosis and the significance in the pelvic lymph node metastasis in endometrial carcinoma.Methods Endometrial carcinoma admitted for initial treatment of patients with a total of 60 cases,take color Doppler imaging (GE730),the uterine,vaginal examination, accessories and tumor size,internal echo,and the relationship with the surrounding tissue boundaries of tumor four weeks and internal flow characteristics were observed.Results 60 cases of endometrial carcinoma,50 cases of patients with ultrasound findings with operation pathologic examination results,which were positive in 45 cases (75%),8 cases of false negative (13.33%),false positive in 2 cases (3.33%),5 cases were negative (8.33%). The detection sensitivity was 84.91% (45 /53);the rate of missed diagnosis was 15.09% (8 /53);the rate of misdi-agnosis was 28.57% (2 /7);the specificity was 71.43% (5 /7);Youden index 0.5634.Resistance index,CDFI value of carcinoma of endometrium and pelvic lymph node metastasis,there were significant differences (P <0.05). Conclusion Node metastasis in endometrial carcinoma by ultrasonography in diagnosis of pelvic lymph,ultrasonic diagnosis accuracy rate reaches 83.33%,so by ultrasonographic features can be found audio -visual abnormalities in patients,and timely diagnosis of pelvic lymph node metastases in endometrial carcinoma,to lower the risk of blind treatment to the female brought.
