摘要
目的探讨子宫内膜癌声像图表现特点与病理分期的对照。方法选取清苑县妇幼保健院2010年3月至2013年3月收治的40例子宫内膜癌患者作为内膜癌组,同期收治40例子宫内膜增生过长患者作为内膜增生过长组,比较两组患者声像图病情轻重表现与病理分期特点。结果内膜癌组宫腔回声厚径值明显大于内膜增生过长组(P<0.01),子宫内膜癌组子宫内膜癌Ⅰ型检出31例,育龄期29.0%(9/31),围绝经38.7%(12/31),绝经后32.2%(10/31)。内膜增生过长组40例患者诊断性刮宫4例,宫腔镜刮宫术1例,子宫全切术35例。子宫内膜病例分期Ⅰa期5例,累及宫颈0例,表现癌组织呈中等偏高回声,均匀致密,子宫大小无改变,且伴有不同程度的宫腔积液;Ⅰb期20例,累及宫颈0例,表现为伴宫腔积液,癌组织现等偏高回声,均匀致密;Ⅰc期6例,累及宫颈0例,声像图表现病灶多有不均匀低回声,伴宫腔积液,子宫体积增大;Ⅱ期5例,累及宫颈4例,子宫体积增大、癌瘤侵犯宫颈,伴宫腔积液;Ⅲ期3例,累及宫颈3例,声像图表现癌瘤向子宫外扩散,未超骨盆,子宫可有混合性块状物探及,与子宫分界不清。结论子宫内膜癌患者宫腔回声平均厚径值较大是疾病的一个声像特点,且超声检查评估病变分期对临床诊断有非常重要的价值,结合病理分期,可为治疗方案的制订提供准确的参考依据。
Objective To contrastively analyze on the sonographic features of endometrial carcinoma and the pathological staging .Methods A total of 40 patients with endometrial carcinoma admitted in Department of Pathology,Qingyuan County Maternal and Child Health Hospital from Mar.2010 to Mar.2013 were selected as the cancer group,and another 40 patients with endometrial hyperplasia during the same period in the hospital were selected as the hyperplasia group ,the sonographic features and pathological staging char-acteristics of the two groups were compared.Results In the cancer group, the intrauterine diameter of echo thick was significantly higher than the hyperplasia group ,31 cases of the cancer group were detected as type I endometrial cancer,among which 29.0%（9/31） were of reproductive age,38.7%（12/31） were peri-menopausal,and 32.2%（ 10/31 ） were postmenopausal women.Among the 40 cases of the hyperplasia group,4 cases underwent diagnostic curettage,1 case underwent hysteroscopic curettage,and 35 cases under-went hysterectomy.Concerning the pathological staging of the cases, five cases were of stageⅠa,with none involving the cervix,showing medium to high echoes in cancer tissues,uniform and compact,as well as no change in uterine size,and varying degrees of uterine fluid;20 cases were of stage Ⅰb,with none involving the cervix,showing features of uterine fluid,high echos in the cancer tissues,uniform and compact;six cases were of stageⅠc,with none involving the cervix,showing uneven low echos in the lesions,with uterine fluid, and increased uterine volume;five cases were of stage Ⅱ,including four cases involving the cervix ,showing increased uterine volume,violations of cervical cancer,and with uterine fluid;three cases were of stage Ⅲ,all of which involving the cervix,showing diffusion of the tumor to the outside area of the uterus,not beyond pel-vis,and mixed masses detected in the uterus,with unclear boundaries to the uterus.Conclusion The big average thickness value of intrauterine echo is the sonographic feature of patients with endometrial cancer . And the disease staging evaluated by ultrasound examination has great importance in the clinical diagnosis , combined with pathological stage,it can provide reference for making accurate treatment plan.
出处
《医学综述》
2015年第5期921-922,共2页
Medical Recapitulate
关键词
子宫内膜癌
声像图表现
病理分期
对照
Endometrial carcinoma
Ultrasonographic features
Pathological staging
Control
