Yang Yuan, Zhao Lijun, Wang Zhiqi, Tang Jun, Geng Jing, Hong Nan, Wang Jianliu, Wei Lihui
Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
Zhonghua Fu Chan Ke Za Zhi. 2016 Jan;51(1):36-9. doi: 10.3760/cma.j.issn.0529-567X.2016.01.009.
To investigate the clinical significance of transvaginal ultrasound, hysteroscopy and MRI in the assessment of endometrial cancer lesions size.
Data from 56 patients who successively underwent transvaginal ultrasound, MRI and hysteroscopy inspection preoperative endometrial carcinoma were retrospectively analyzed to assess the accuracy of lesions size.
The pathologic lesions size measured mean maximum diameter of 56 cases was (3.05±0.23) cm, while the mean maximum diameter measured by vaginal ultrasound, MRI and hysteroscopy were respectivelly (2.46±0.31) cm, (3.12±0.08) cm, and (3.18±0.21) cm. Compared with the pathologic measured values, the compliance rates of transvaginal ultrasound, hysteroscopy and MRI were respectively 54% (30/56), 71% (40/56) and 75% (42/56), which vaginal ultrasound measurement value was significantly different than that by pathologic measured (P=0.031), while there were significant difference between the hysteroscopy measured lesion size and pathologic measured, or between MRI measured values and pathologic measured (all P>0.05).
Preoperative assess the endometrial cancer lesions size, significance of vaginal ultrasound examination is limited, and MRI and hysteroscopy examination is accurate, but easy to over-estimated lesion size.
探讨经阴道超声、宫腔镜及磁共振成像（MRI）在评估子宫内膜癌病灶大小中的临床意义。
回顾性分析56例术前先后接受经阴道超声、MRI及宫腔镜检查的子宫内膜癌患者的数据，以评估病灶大小的准确性。
56例病例病理测得病灶大小的平均最大直径为（3.05±0.23）cm，而经阴道超声、MRI及宫腔镜测得的平均最大直径分别为（2.46±0.31）cm、（3.12±0.08）cm及（3.18±0.21）cm。与病理测量值相比，经阴道超声、宫腔镜及MRI的符合率分别为54%（30/56）、71%（40/56）及75%（42/56），经阴道超声测量值与病理测量值差异有统计学意义（P = 0.031），而宫腔镜测量的病灶大小与病理测量值之间，以及MRI测量值与病理测量值之间差异均无统计学意义（均P>0.05）。
术前评估子宫内膜癌病灶大小，经阴道超声检查意义有限，MRI及宫腔镜检查较准确，但易高估病灶大小。
