TVCDS联合诊断性刮宫早期诊断子宫内膜癌的应用价值

目的应用经阴道彩色多普勒超声（TVCDS）观察子宫内膜癌的超声参数特征，并探讨其联合诊断性刮宫诊断子宫内膜癌的价值。方法2013年4月至2016年7月疑似子宫内膜癌患者126例，于术前均接受TVCDS及诊断性刮宫检查，并与手术后所获得病理检查结果进行比较分析。结果ⅠA期子宫内膜癌患者的子宫内膜厚度（7．04±0．95）mm、血流显示率26．32％、阻力指数（0．29±0．12）；IB期子宫内膜癌患者的子宫内膜厚度（15．96±2．38）mm、血流显示率59．26％、阻力指数（0．53±0．15）；IC期子宫内膜癌患者的子宫内膜厚度（21．50±2．64）mm、血流显示率93．33％、阻力指数（0．73±0．11），各期比较差异有统计学意义（P〈0．05）；TVCDS联合诊断性刮宫对子宫内膜癌进行诊断时具有较高的敏感度（93．24％）、特异度（94．23％）和准确性（93．65％）。TVCDS对Ⅰ期子宫内膜癌进行临床分期时具有较高的准确性90．16％。结论TVCDS联合诊断性刮宫有助于早期诊断子宫内膜癌及正确评估其临床分期，值得在临床上推广应用。

Objective To observe the ultrasonographic characteristics of endometrial carcinoma by transvaginal color doppler sonography （ TVCDS ） , and to explore the value combined with diagnostic curettage in early diagnosis of endometrial carcinoma. Methods 126 cases of suspected endometrial cancer patients as the research subjects, in our hospital from april 2013 to July 2016.All of the subjects accepted TVCDS and diagnostic curettage check before operation, and eventually compared with the postoperative pathologic results. Results The IA stage endometrial cancer patients with endometrial thickness （ 7.04 ± 0.95 mm） ／blood flow display rate （ 26.32% ） ／resistance index （ RI, 0.29 ± 0.12 ） the IB stage endometrial cancer patients with endometrial thickness （ 15.96 ± 2.38 ）mm ／ blood flow display rate （ 59.26% ） ／RI （ 0.53 ± 0.15 ） the IC stage endometrium cancer patients with endometrial thickness （ 21.50 ± 2.64 ） mm／ blood flow display rate （ 93.33% ） ／RI （ 0.73 ± 0.11 ） , there were statistically significant in the three stages （ P〈0.05 ） ; TVCDS combined diagnostic curettage diagnosis of endometrial carcinoma with higher sensitivity （ 93.24% ） , specificity （ 94.23% ） and accuracy （ 93.65% ） .TVCDS for the I stage endometrial had high accuracy： 90.16%. Conclusion TVCDS combined diagnostic curettage help to early diagnosis of endometrial carcinoma and correct assessment of the clinical staging, are worthy of clinical application.