经阴道超声诊断子宫内膜癌

Transvaginal Sonography for Endometrial Carcinoma

目的 探讨应用经阴道超声 (TVS)诊断绝经前后出血妇女子宫内膜癌的价值。 方法 采用彩色多普勒超声诊断仪检测 74例阴道异常出血的妇女 ,其中绝经前 2 8例 ,绝经后 4 6例 ,所有患者均取子宫内膜组织行病理对照。 结果 TVS检测子宫内膜癌的敏感性、特异性、假阳性率、假阴性率、阳性预测值和阴性预测值 ,绝经前妇女依次为 6 1.5 % ,5 0 .0 % ,14 .3% ,2 3.8% ,94 .1%和 5 4 .5 % ,绝经后妇女依次为 97.3% ,5 5 .6 % ,4 4 .4 % ,2 .7% ,90 .0 %和 83.0 %。 结论 TVS检测可作为子宫内膜癌首选的筛查方法 。

Objective\ To investigate the value of diagnosing endometrial carcinoma by transvaginal sonography(TVS) in women with pre\| and post\|menopausal bleeding.\ Methods\ 74 women(28 pre\|menopausal cases and 46 post\|menopausal cases) with abnormal vagina bleeding were examined by color Doppler ultrasound in comparison with pathological detection of uterine endometrium.\ Results\ Sensitivity, specificity, false positive ratio, false negative ratio, positive prediction and negative prediction were 61 5%, 50.0%, 14 3%, 23 8%, 94 1% and 54 5% in the pre\|menopausal patients, and 97 3%, 55 6%, 44 4%, 2 7%, 90.0% and 83.0% in the post\|menopausal patients in turn.\ Conclusion\ TVS can be used as a routine first\|step diagnostic procedure of endometrial carcinoma, especially in post\|menopausal women.\;