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目的:探讨不同影像学技术对诊断子宫内膜癌分期的价值。方法:收集2014年1月至2016年3月开封市第二人民医院有明确病理诊断的子宫内膜癌患者,进行回顾性分析研究,共计120例。入院后接受超声、计算机断层扫描(CT)和磁共振(MRI)检查。分析患者病例特征以及不同影像学检查手段与病理结果一致性。结果:(1)20例患者中绝经前40例,绝经后60例;合并14例疾病子宫肌瘤和3例子宫腺肌症;病理类型为内膜样腺癌;无侵润30例、侵润<1/2共54例、侵润≥1/2共36例;淋巴结侵润28例。(2)超声、CT和MRI在子宫内膜癌术前分期符合率均较高,三者分期符合率比较,差异无统计学意义(P>0.05),且超声、CT和MRI三者分期与病理分期结果比较,差异无统计学意义(P>0.05)。结论:诊断子宫内膜癌建议同时采用超声、CT及MRI检查,以提高诊断正确率。
Objective: To explore the value of different imaging techniques in the diagnosis of staging of endometrial cancer. Methods: From January 2014 to March 2016, there were 120 cases of endometrial carcinoma with clear pathological diagnosis in the Second People’s Hospital of Kaifeng City. The data were retrospectively analyzed. After admission, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) were performed. Analysis of patient characteristics and different imaging methods and pathological findings consistent. Results: (1) Among the 20 patients, 40 were premenopausal, 60 were postmenopausal, 14 were uterine fibroids and 3 were adenomyosis, and the pathological type was endometrial adenocarcinoma. There were 30 infiltration without invasion Run <1/2 a total of 54 cases, invasion ≥ 1/2 a total of 36 cases; 28 cases of lymph node infiltration. (2) The coincidence rates of ultrasound, CT and MRI in the preoperative staging of endometrial carcinoma were high, and the coincidence rates of the three staging were not statistically different (P> 0.05) The pathological staging results were compared, the difference was not statistically significant (P> 0.05). Conclusion: The diagnosis of endometrial cancer recommended the simultaneous use of ultrasound, CT and MRI examination to improve the diagnostic accuracy.