重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
19期
2426-2427,2431
,共3页
子宫内膜增生%子宫内膜肿瘤%经阴道超声%鉴别诊断
子宮內膜增生%子宮內膜腫瘤%經陰道超聲%鑒彆診斷
자궁내막증생%자궁내막종류%경음도초성%감별진단
endometrial hyperplasia%endometrial neoplasms%transvaginal ultrasound%differential diagnosis
目的：探讨经阴道彩色多普勒超声（TVS）在子宫内膜增生症（EH）与子宫内膜癌（EC）鉴别诊断中的价值。方法回顾性分析该院48例EH及37例EC患者的TVS检查资料，并与其病理诊断对照分析。结果48例EH患者中，44例TVS检查结果与病理诊断相一致，4例为子宫内膜非典型增生，而误诊为EC ，准确率91．67％（44/48）。37例EC患者中，34例T VS检查结果与病理诊断相一致，3例为早期EC而误诊为子宫内膜非典型增生，准确率91．89％（34/37）。结论 TVS对EH与EC的鉴别诊断有重要意义。
目的：探討經陰道綵色多普勒超聲（TVS）在子宮內膜增生癥（EH）與子宮內膜癌（EC）鑒彆診斷中的價值。方法迴顧性分析該院48例EH及37例EC患者的TVS檢查資料，併與其病理診斷對照分析。結果48例EH患者中，44例TVS檢查結果與病理診斷相一緻，4例為子宮內膜非典型增生，而誤診為EC ，準確率91．67％（44/48）。37例EC患者中，34例T VS檢查結果與病理診斷相一緻，3例為早期EC而誤診為子宮內膜非典型增生，準確率91．89％（34/37）。結論 TVS對EH與EC的鑒彆診斷有重要意義。
목적：탐토경음도채색다보륵초성（TVS）재자궁내막증생증（EH）여자궁내막암（EC）감별진단중적개치。방법회고성분석해원48례EH급37례EC환자적TVS검사자료，병여기병리진단대조분석。결과48례EH환자중，44례TVS검사결과여병리진단상일치，4례위자궁내막비전형증생，이오진위EC ，준학솔91．67％（44/48）。37례EC환자중，34례T VS검사결과여병리진단상일치，3례위조기EC이오진위자궁내막비전형증생，준학솔91．89％（34/37）。결론 TVS대EH여EC적감별진단유중요의의。
Objective To explore the value of transvaginal color doppler ultrasound(TVS) in the differential diagnosis of endom-etrial hyperplasia(EH) and endometrial cancer(EC) .Methods The clinical data concerning TVS in 48 patients with EH and 37 pa-tients with EC were reviewed retrospectively ,then we compared the ultrasonic diagnosis with the pathological diagnosis to observe the preoperative diagnostic accuracy of ultrasonic diagnosis .Results In 48 patients with EH ,the inspection results of 44 cases were accordant with the pathological diagnosis .The rest of 4 cases were misdiagnosed by TVS as EC before operation ,and the accurate rate is 91 .67% (44/48);In 37 patients with EC ,the checking results of 34 cases were consistent with the pathological diagnosis . The rest of 3 cases were misdiagnosed by TVS as endometrial atypical hyperplasia ,and the accurate rate is 91 .89% (34/37) .Con-clusion TVS has diagnostic significance in the differential diagnosis of EH and EC .
