【摘要】 目的:探讨阴道彩色多普勒超声结合弹性成像技术对子宫内膜癌的早期诊断价值。方法:选择2014年12月1日~2015年12月1日就诊于青岛市立医院的疑似子宫内膜癌患者180例,并按照随机数表原则将其分为试验组和对照组,各90例。对照组患者采用常规阴道彩色多普勒超声扫查,试验组患者采用阴道彩色多普勒超声结合弹性成像技术进行扫查。分别统计两组患者的病理证实例数,分析子宫内膜癌的早期超声诊断结果及其分期诊断结果,并记录患者的子宫内膜、阻力指数及血流显示率情况。结果:试验组的诊断敏感度为98.33%、特异度为96.67%、准确度为97.78%;对照组的诊断敏感度为92.73%、特异度为94.29%、准确度为93.33%。试验组子宫内膜癌诊断的阳性率稍高于对照组,差异不显著(P>0.05)。试验组对子宫内膜癌Ⅲ期的诊断准确度(98.33%)稍高于对照组(96.36%),且两组患者的IA、IB、IC诊断结果差异不显著(P>0.05)。试验组的子宫内膜厚度、血流显示率及阻力指数与对照组相比较,差异不显著(P>0.05)。结论:阴道彩色多普勒超声联合弹性成像技术在子宫内膜癌的早期诊断中,具有较高的准确度、特异度以及敏感度,同时还能清晰展示患者子宫内膜厚度、血流显示情况和阻力系数等,值得在临床上推广应用。更多还原

【Abstract】 Objective To observe the early diagnostic value of transvaginal color Doppler ultrasound combined with elastography for endometrial cancer. Methods From December 1, 2014 to December 1, 2015, 180 patients with suspected endometrial cancer treated in Qingdao Municipal Hospital were selected, and randomly divided into treatment group and control group, each group of 90 patients. The patients in control group were treated by the routine transvaginal color Doppler ultrasound scan, while the patients in experimental group were scanned by transvaginal color Doppler ultrasound combined with elastography. The number of pathologically confirmed cases was statistically analyzed. The early diagnostic results of endometrial cancer and staging diagnostic results were analyzed. The endomerium, resistance index, and display rate of blood flow were recorded. Results The diagnostic sensitivity, specificity, and accuracy of experiment group were 98.33%, 96.67%,97.78%, respectively, while those of control group were 92.73%, 94.29%, 93.33%, respectively. The positive rate of experiment group was slightly higher than that of control group, without significant differences(P>0.05). The diagnostic accuracy of the Ⅲ stage of endometrial cancer in experiment group(98.33%) was slightly higher than that in control group(96.36%). No significant differences were found in the diagnostic results of IA, IB, IC stage of endometrial cancer between the two groups(P>0.05). No significant differences were found in endometrial thickness, display rate of blood flow, and resistance index between two groups(P>0.05). Conclusion Transvaginal color Doppler ultrasound combined with elastography has higher accuracy, specificity and sensitivity in the early diagnosis of endometrial cancer, and clearly shows the endometrial thickness, blood flow, and resistance index of patients, worthy of popularizing in clinical applications.更多还原