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目的:探讨应用经阴道超声(TVS)诊断子宫内膜癌的价值。方法:对30例子宫内膜癌的超声检查结果及临床资料进行回顾性分析。结果:弥漫型子宫内膜癌的超声诊断与病理诊断符合率可达71.4%;局限型子宫内膜癌图像特征不典型,诊断符合率较低,本组为44.4%,但此类患者内膜异常发现率在95%以上,结合诊刮可明显提高本病的诊断率。结论:TVS检测可作为子宫内膜癌首选的筛查方法,并可明确病变是弥漫型还是局限型,对确定子宫内膜癌术前选择手术方式和治疗方案有重要意义。
Objective: To investigate the value of transvaginal ultrasound (TVS) in the diagnosis of endometrial cancer. Methods: The ultrasound findings and clinical data of 30 cases of endometrial carcinoma were analyzed retrospectively. Results: The coincidence rate of ultrasound diagnosis and pathological diagnosis of diffuse endometrial carcinoma was 71.4%. The imaging characteristics of localized endometrial carcinoma were not typical. The diagnostic coincidence rate was low in this group (44.4%). However, Abnormal rate found in more than 95%, combined with curettage can significantly improve the diagnosis of the disease. Conclusion: TVS can be used as the screening method of endometrial cancer, and can confirm whether the lesions are diffuse or localized. It is of great significance to determine the preoperative surgical methods and treatment options for endometrial cancer.