世界复合医学2024,Vol.10Issue(3) :11-14,24.DOI:10.11966/j.issn.2095-994X.2024.10.03.03

双重超声造影技术在子宫内膜癌分期诊断中的临床应用价值研究

Clinical Application Value of Dual Contrast-enhanced Ultrasound Technology in the Staging Di-agnosis of Endometrial Cancer

陈玉英 任宏义 闫丽
世界复合医学2024,Vol.10Issue(3) :11-14,24.DOI:10.11966/j.issn.2095-994X.2024.10.03.03

双重超声造影技术在子宫内膜癌分期诊断中的临床应用价值研究

Clinical Application Value of Dual Contrast-enhanced Ultrasound Technology in the Staging Di-agnosis of Endometrial Cancer

陈玉英 1任宏义 1闫丽1
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作者信息

  • 1. 湖北航天医院超声影像科,湖北孝感 432000
  • 折叠

摘要

目的 采用宫腔声学造影与静脉超声造影联合技术对子宫内膜癌进行分期,分析双重超声造影技术的子宫内膜癌分期诊断效能.方法 方便选取2022年3月—2023年9月湖北航天医院收治的45例疑似子宫内膜癌患者作为研究对象.均采用二维超声技术、宫腔声学造影与静脉超声造影联合技术进行检查.以手术病理为金标准,观察双重超声造影技术诊断子宫内膜癌临床分期的效能.结果 以手术病理为金标准,45例疑似子宫内膜癌患者中检出子宫内膜癌39例.双重超声造影技术的诊断准确度、灵敏度、特异度均高于二维超声技术,差异有统计学意义(P均<0.05).双重超声造影技术诊断子宫内膜癌Ⅰa期、Ⅰb期、Ⅱ期的诊断符合率(88.89%、100.00%、100.00%)高于二维超声技术(44.44%、75.00%、55.56%),差异有统计学意义(χ2=4.000、4.571、5.143,P均<0.05).双重超声造影技术诊断子宫内膜Ⅲ期、Ⅳ期的符合率与二维超声技术比较,差异无统计学意义(P均>0.05).结论 宫腔声学造影与静脉超声造影联合可以提高子宫内膜癌分期的诊断水平,特别是在Ⅰa期、Ⅰb期、Ⅱ期的分期诊断中,优于二维超声技术.

Abstract

Objective To uses the combined technology of intrauterine contrast-enhanced ultrasound and intravenous contrast-enhanced ultrasound to stage endometrial cancer,and analyzes the diagnostic performance of dual contrast-enhanced ultrasound technology for staging endometrial cancer.Methods A total of 45 patients with suspected endometrial cancer admitted to Hubei Aerospace Hospital from March 2022 to September 2023 were conveniently selected as the research subjects.All examinations were carried out using two-dimensional ultrasound technology,combined technology of intrauterine ultrasound contrast-enhanced ultrasound and intra-venous contrast-enhanced ultrasound.The surgical pathology was the"gold standard",the effectiveness of dual contrast-enhanced ultrasound technology in diagnosing the clinical staging of endometrial cancer was observed.Results Using surgical pathology as the gold standard,39 cases of endometrial cancer were detected among 45 cases of suspected endometrial cancer.The diagnostic accuracy,sensitivity and specificity of dual contrast-enhanced ultrasound technology are higher than those of two-dimensional ultrasound technology,and the differ-ence was statistically significant(all P<0.05).The diagnostic accuracy of dual contrast-enhanced ultrasound technology in diagnosing stage Ia,stage Ib and stage Ⅱ endometrial cancer(88.89%,100.00%,100.00%)were higher than those of two-dimensional ultrasound technology(44.44%,75.00%,55.56%),and the differences were statistically significant(χ2=4.000,4.571,5.143,all P<0.05).There was no statistically significant differ-ence in the coincidence rate between dual contrast-enhanced ultrasound technology and two-dimensional ultra-sound technology in diagnosing endometrial stages Ⅲ and Ⅳ(both P<0.05).Conclusion The combination of so-nohysterography and intravenous contrast-enhanced ultrasound can improve the diagnostic level of endometrial cancer staging,especially in the staging diagnosis of stage Ia,stage Ib and stage Ⅱ,which is superior to two-dimensional ultrasound technology.

关键词

双重超声造影技术/子宫内膜癌/分期诊断/宫腔声学造影/静脉超声造影

Key words

Dual contrast-enhanced ultrasound technology/Endometrial cancer/Staging diagnosis/In-trauterine contrast-enhanced ultrasound/Intravenous contrast-enhanced ultrasound

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基金项目

孝感市自然科学计划项目(XGKJ2022010042)

出版年

2024
世界复合医学

世界复合医学

ISSN:
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