Transvaginal three-dimensional ultrasound diagnosis of endometrial carcinoma and the evaluation of the infiltration degree of the muscle layer
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摘要:
目的探讨经阴道三维超声（3-DTVS）诊断子宫内膜癌及判断肌层浸润深度的价值。 方法收集2010年1月~2013年6月在我院经手术治疗的子宫内膜癌患者148例。全部病例术前均应用3-DTVS多平面和血管成像技术以及体积测量功能诊断子宫内膜癌及肌层浸润深度进行评估（3-DTVS组）；45例经核磁共振(MRI)检查为对照组（MRI组），以手术后病理结果判断符合率，对比两组诊断子宫内膜癌及其肌层浸润情况。 结果经3-DTVS诊断子宫内膜癌的符合率为90.1%，判断肌层浸润的符合率为78.3%。应用3-DTVS与MRI诊断子宫内膜癌及肌层浸润准确率两组间无显著性差异（P>0.05）。 结论3-DTVS对子宫内膜癌及肌层浸润深度有重要诊断价值。 Abstract:ObjectiveTo study the transvaginal three-dimensional ultrasound (3--DTVS) in the diagnosis of endometrial carcinoma and to judge muscular infiltration depth value. Methodsfrom January 2010 to June 2010 in our hospital after surgical treatment of 148 patients with endometrial cancer. All cases of preoperative application of more than a 3-DTVS plane and vascular imaging and measurement function diagnosis of endometrial carcinoma and to evaluate muscular infiltration depth (3-DTVS group); 45 cases by nuclear magnetic resonance (MRI) examination as control group (MRI), the coincidence rate with pathological results after surgical judgment, compared two groups of diagnosis of endometrial carcinoma and muscular infiltration. ResultsThrough 3-DTVS diagnosis coincidence rate of carcinoma of endometrium was 90.1%, the judgment of muscular infiltration coincidence rate was 78.3%. Application 3 DTVS with magnetic resonance imaging (MRI) diagnosis of endometrial carcinoma and muscular infiltration accuracy there was no significant difference between the two groups (P >0.05). Conclusion3-DTVS in diagnosis of endometrial carcinoma and muscular infiltration depth has important diagnostic value. -
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