影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (5): 910-913.DOI: 10.7517/issn.1674-0475.200315

• 综述与论文 • 上一篇    下一篇

经阴道彩色多普勒超声联合CT对子宫内膜癌的诊断效能

车月玫1, 骆文香2, 董晓红2, 崔向华2, 刘婕娜2, 车玥琛2   

  1. 1. 东部战区空军医院 妇产超声科, 江苏 南京 210000;
    2. 东部战区空军医院 妇产科, 江苏 南京 210000
  • 收稿日期:2020-03-18 出版日期:2020-09-15 发布日期:2020-09-15

Diagnostic Effect of Transvaginal Color Doppler Ultrasound Combined with CT in Endometrial Cancer

CHE Yuemei1, LUO Wenxiang2, DONG Xiaohong2, CUI Xianghua2, LIU Jiena2, CHE Yuechen2   

  1. 1. Department of Gynecology and Obstetrics Ultrasound, Eastern Theater Air Force Hospital, Nanjing 210000, Jiangsu, P. R. China;
    2. Department of Gynecology and Obstetrics, Eastern Theater Air Force Hospital, Nanjing 210000, Jiangsu, P. R. China
  • Received:2020-03-18 Online:2020-09-15 Published:2020-09-15

摘要: 随机选取子宫内膜癌(endometrial carcinoma,EC)患者共82例,均行经阴道彩色多普勒超声(transvaginal color doppler ultrasound,TV-CDU)和计算机断层扫描(computed tomography,CT)检查,应用TV-CDU检测患者子宫内膜厚度和子宫内膜血流动力学指标,应用CT和TV-CDU检测患者子宫肌层浸润情况并计算诊断符合率。结果表明,EC患者瘤内血流阳性率与肿瘤分级和子宫内膜厚度显著相关(P<0.05);联合应用TV-CDU及CT对肿瘤肌层浸润的检测符合率显著高于单独应用TV-CDU或CT (P<0.05)。上述结果表明,联合应用TV-CDU和CT对子宫内膜癌的诊断效能显著提高,可为子宫内膜癌的诊断和病情评估提供切实可行的参考。

关键词: 子宫内膜癌, 经阴道彩色多普勒超声, 计算机断层扫描冠状动脉造影

Abstract: 82 patients with endometrial cancer were enrolled in this study. All patients were examined by transvaginal color Doppler ultrasound (TV-CDU) and computed tomography (CT). Endometrial thickness and endometrial hemodynamic indicators were measured by TV-CDU. CT and TV-CDU were used to detect the myometrial infiltration in patients, and the diagnostic coincidence rate was calculated. The results showed that the positive rate of intratumoral blood flow in patients with endometrial cancer was significantly correlated with tumor grade and endometrial thickness (P<0.05). The coincidence rate of the combined application of TV-CDU and CT for myometrial invasion was significantly higher than that of TV-CDU or CT alone (P<0.05). The above results suggest that the combined use of TV-CDU and CT examinations has significant diagnostic value for endometrial cancer and can provide a practical reference for the diagnosis and evaluation of endometrial cancer.

Key words: endometrial cancer (EC), transvaginal color Doppler ultrasound (TV-CDU), computed tomography coronary angiography (CT) 910