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目的 :探讨阴道超声对子宫内膜癌的诊断价值。方法 :应用阴道超声探头对59例异常子宫出血的患者于诊断性刮宫术之前进行盆腔扫查 ,测量子宫内膜厚度 ,观察内膜的声像图改变特点以及评估肌间有无癌灶浸润 ,并与手术后病理学诊断进行对照。结果 :病理诊断子宫内膜癌52例 ,阴道超声诊断内膜癌43例。阴道超声诊断子宫内膜癌的灵敏度及特异度分别为78.85 %和71.43% ,阳性预测值95.35%。结论 :阴道超声作为一种无创性诊断手段 ,不仅可以作为评估异常子宫出血妇女的第一步常规检查 ,而且对子宫内膜癌的诊断具有临床应用价值。
Objective: To explore the value of vaginal ultrasound in the diagnosis of endometrial cancer. Methods: Fifty-nine patients with abnormal uterine bleeding were examined with pelvic scanning prior to diagnostic curettage, the thickness of endometrium was measured, the changes of endometrial sonography were observed, and the presence or absence of tumor infiltration was evaluated. And compared with postoperative pathological diagnosis. Results: Pathological diagnosis of endometrial cancer in 52 cases, 43 cases of endometrial cancer diagnosed by vaginal ultrasound. The sensitivity and specificity of vaginal ultrasound in the diagnosis of endometrial cancer were 78.85% and 71.43% respectively, and the positive predictive value was 95.35%. Conclusion: As a noninvasive diagnostic method, vaginal ultrasound can not only be the first routine examination for women with abnormal uterine bleeding, but also have clinical value for the diagnosis of endometrial cancer.