【摘要】 目的探讨磁共振成像(MRI)联合宫腔镜在子宫内膜癌诊断及分期中的应用。方法选择288例子宫异常出血患者病历资料进行回顾性研究。288例患者分别接受宫腔镜及MRI检查,对可疑病变均进行组织病理活检,288例患者中有31例最终经病理检查确诊为子宫内膜癌并接受手术治疗。对宫腔镜、MRI及两者联合检查对子宫内膜癌的诊断符合率以及宫腔镜、MRI以及两者联合检查对子宫内膜癌手术病理分期预测的一致性进行探讨。结果 MRI联合宫腔镜检查对子宫内膜癌与病理检查符合率为83.87%,显著高于单用MRI的70.69%以及宫腔镜的77.42%(χ2MRI=7.51,χ2宫腔镜=6.39)。宫腔镜及MRI联合宫腔镜检查对手术病理分期预测具有一致性(P<0.05),且MRI联合宫腔镜检查对手术病理分期的预测价值高于单用宫腔镜或MRI检查。结论 MRI联合宫腔镜适用于子宫内膜癌的诊断及分期预测。更多还原

【Abstract】 [Objective] To explore combined examination of MRI and uteroscope in diagnosis and staging of endometrial carcinoma. [Methods] Medical records of 288 patients with uterine abnormal bleeding were retrospectively inspected. All patients received examination of MRI and uteroscope. In 288 patients, 31 were diagnosed as endometrial carcinoma pathologically and received surgical treatment. Diagnose accordance rate and pathologic staging forecast for consistency of MRI and/or uteroscope were evaluated. [Results] Pathological diagnosis accordance rate of combination examination of MRI and uteroscope was 83.87%, significantly higher than application of MRI (70.69%) or uteroscope (77.42%) alone (P <0.05, χ2MRI=7.51, χ2uteroscope=6.39). Consistency of forecasting in surgical- pathological staging was confirmed in uteroscope and combined examination (P <0.05), but the combination examination was proved better than signal examination by Kappa consistency test. [Conclusions] Combined examination of MRI and uteroscope is suitable in diagnosis and staging forecasting in endometrial carcinoma.更多还原