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三维经阴道超声检查在宫颈癌局部分期中的应用:一种新技术的描述及初步结果

Three-dimensional transvaginal sonography in local staging of cervical carcinoma: description of a novel technique and preliminary results.

作者信息

Ghi T, Giunchi S, Kuleva M, Santini D, Savelli L, Formelli G, Casadio P, Costa S, Meriggiola M C, Pelusi G

机构信息

Department of Obstetrics and Gynecology, Policlinico S.Orsola-Malpighi, Università degli Studi di Bologna, Bologna, Italy.

出版信息

Ultrasound Obstet Gynecol. 2007 Oct;30(5):778-82. doi: 10.1002/uog.5147.

Abstract

OBJECTIVE

To evaluate the feasibility of three-dimensional multiplanar sonography in the local staging of cervical carcinoma.

METHODS

Between January 2005 and May 2006, 14 patients with invasive cervical carcinoma underwent transvaginal volume ultrasound examination prior to primary surgery. Parametrial invasion was evaluated in the coronal plane, while both bladder and rectal invasion were evaluated in the sagittal plane. Ultrasound findings were compared with surgical and histological results.

RESULTS

In 12 of the 14 cases, three-dimensional ultrasound findings were compatible with pathology results. In the remaining two cases, either infiltration of right parametrium or rectal invasion were suspected at ultrasound but not confirmed at pathology.

CONCLUSIONS

Despite the small number of patients evaluated, three-dimensional multiplanar sonography appears to be a promising technique in the local staging of cervical carcinoma.

摘要

目的

评估三维多平面超声在宫颈癌局部分期中的可行性。

方法

2005年1月至2006年5月期间,14例浸润性宫颈癌患者在初次手术前行经阴道容积超声检查。在冠状面评估宫旁浸润情况,在矢状面评估膀胱和直肠浸润情况。将超声检查结果与手术及组织学结果进行比较。

结果

14例患者中有12例,三维超声检查结果与病理结果相符。其余2例中,超声怀疑右侧宫旁浸润或直肠浸润,但病理未证实。

结论

尽管评估的患者数量较少,但三维多平面超声在宫颈癌局部分期中似乎是一种有前景的技术。

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