长春一汽高专-十八大什么时候

学术论著
中国医学装备2019年6月第16卷第6期 China Medical Equipment 2019 June Vol.16 No.6
基于多普勒超声检查在子宫内膜癌 诊断中的应用
*
及其与临床病理的关系探讨
甘会书
①
王凤永
②
温中琼
③
李吉英
②
孙玉革
①
孙 萍
①
[文章编号] 1672-8270(2019)06-0066-04 [中图分类号] R445.1 [文献标识码] A
[摘要] 目的：
探讨多普勒超声检查对子宫内膜癌分期、黏膜层侵犯及淋 巴结转移诊断的价值，研究超声参数与微血管密度
及临床病理间的关系。
方法：
回顾性 分析80例经组织病理学证实的子宫内膜癌患者的临床资料，所有患者均接受超声、X
射线计算机断层扫 描(CT)及磁共振成像(MRI)检查，比较3种不同影像学检查对子宫内膜分期、黏膜层浸润及淋巴结转移的
诊断及鉴别诊断。
结果：
MRI对内膜癌分期、黏膜层侵犯及淋巴结转移诊断符合率最 高，CT与超声的术前分期结果、判断
黏膜层侵犯、淋巴结转移符合率比较差异无统计学意义；不同年龄 间、不同组织学类型间、是否发生淋巴结转移患者的超
声参数阻力指数(RI)、搏动指数(PI)及微 血管密度(MVD)水平的比较，其差异无统计学意义；不同病理分期、子宫肌层浸润
深度特征患者的R I、PI及MVD指标比较，其差异有统计学意义(
t
=5.326,
t
=4 .956,
t
=7.002；
P
＜0.05)。
结论：
MR I、CT
及超声是子宫内膜癌诊断与疗效评估的常用影像学手段，虽然超声检查符合率不及MRI，但其 具有操作简单、检查方便等
优势，并且超声参数同样与子宫内膜癌微血管密度、临床病理间具有密切联系 ，具有早期诊断筛查以及术前病情初步评估
的应用价值。
[关键词]
多普勒超声；超声参数；子宫内膜癌；临床诊断；临床病理
DOI: .1672-8270.2019.06.018
Exploration on the application of Doppler ultrasonography in diagnosis of endometrial carcinoma and its
relationship with clinical pathologyGAN Hui- shu, WANG Feng-yong, WEN Zhong-qiong, et alChina Medical
Equipment,2019,16(6):66-69.
[Abstract]

Objective:
To explore the value of Doppler ultrasonography in the diagnosis of endometrial carcinoma
staging, mucosal invasion and lymph node metastasis, and to study the relationship between ultrasound parameters
and microvessel density(MVD), clinical pathology.
Methods:
A retrospective analysis was made on the clinical data
of 80 patients with endometrial carcinoma who were confirmed by histopathology. All the 80 patients were examined
by ultrasound, computed tomography(CT) and magnetic resonance imaging(MRI). The diagnosis and differential
diagnosis ofendometrial carcinoma staging, mucosal invasion and lymph node metastasis between three different
imaging examinations were compared.
Results:
MRI had the highest diagnostic coincidence rate in staging, mucosal
invasion and lymph node metastasis of endometrial carcinoma, but there was no significant difference between CT
and ultrasound in comparisons of coincidence rates of preoperative staging, judging of mucosal invasion and lymph
node metastasis. There were no significant differences in resistance index (RI), pulsatility index (PI) and MVD levels
between patients with different ages, between patients with different histological type and between patients with and
without lymph node metastasis. While there were significant differences in RI, PI and MVD indexes among patients
with different pathological stages andcharacteristics of myometrial invasion depth(
t
=5.326,
t
=4.956,
t
=7.002,
P
<0.05).
Conclusion:
MRI, CT and ultrasonography are the common imaging methods for the diagnosis and assessment of
endometrial carcinoma. Although the coincidence rate of ultrasonography is lower than that of MRI, it also has the
advantages of simplicity of operation and convenience of examination, and ultrasonographic parameters are closely
relative with the microvessel density and clinicopathology of endometrial carcinoma. And it has application values of
early diagnostic screening and preliminary assessment of preoperative state of disease.
[Key words]
Doppler ultrasound; Ultrasound parameter; Endometrial carcinoma; Clinical diagnosis; Clinicopathology
[First-author’s address]
Department of Ultrasound, Maternity & Child Care Center of Qinhuangdao, Qinhuangdao
066000, Chi na.
*基金项目：秦皇岛市科学技术研究与发展计划(201701B035)“彩色多普勒超声血流 频谱在常见产科急重症诊断中的研究与临床应用
价值”
①秦皇岛妇幼保健院超声科 河北 秦皇岛 066000
②秦皇岛市第三医院放射科 河北 秦皇岛 066000
③秦皇岛市抚宁区中医院超声科 河北 秦皇岛 066000
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收稿日 期：2018-08-16