CAJ | 학술논문

目的：探究B超联合！腔镜对子宫内膜癌的临床诊断价值。方法选取本院2012年1月至2013年1月收治的子宫内膜癌患者70例，将患者随机分为诊刮组（34例）、B超联合宫腹腔镜检查组（36例），对两组患者进行诊断。依照手术治疗、术后病理结果对两种诊断方法准确率进行对比，观察诊断有效性。结果 B超联合！腔镜组诊断有效率（94.4%）明显高于诊刮组（76.5%），差异有统计学意义（P﹤0.05）。其宫颈浸润诊断准确率达到97.2%，分期准确率分别为92.3%和100.0%。结论 B超联合！腔镜可以明显提高子宫内膜癌患者诊断准确率，提升临床分期有效性，对患者早期康复具有非常好的促进作用。
목적：탐구B초연합！강경대자궁내막암적림상진단개치。방법선취본원2012년1월지2013년1월수치적자궁내막암환자70례，장환자수궤분위진괄조（34례）、B초연합궁복강경검사조（36례），대량조환자진행진단。의조수술치료、술후병리결과대량충진단방법준학솔진행대비，관찰진단유효성。결과 B초연합！강경조진단유효솔（94.4%）명현고우진괄조（76.5%），차이유통계학의의（P﹤0.05）。기궁경침윤진단준학솔체도97.2%，분기준학솔분별위92.3%화100.0%。결론 B초연합！강경가이명현제고자궁내막암환자진단준학솔，제승림상분기유효성，대환자조기강복구유비상호적촉진작용。
Objective To investigate the clinical diagnosis value of B-ultrasound combined with hysteroscopy on endometrial cancer. Methods From January 2012 to January 2013,70 patients with endometrial cancer in our hospital were chose,the pa-tients were randomly divided into curettage group(34 cases),B-ultrasound combined with hysteroscopy examination group(36 cases). In accordance with the surgery,postoperative pathological findings,the accuracy of two diagnostic methods were com-pared,and the diagnostic validity was observed. Results The accuracy rate of B-ultrasound combined with hysteroscopy group (94. 4%)was significantly higher than that of the curettage group(76. 5%),there was significant difference(P﹤0. 05). The diagnostic accuracy rate of invasive cervical was 97. 2%,and staging accuracy was 92. 3% and 100. 0%,respectively. Conclusion B-ultrasound combined with hysteroscopy can significantly improve the diagnostic accuracy of endometrial cancer, enhance the effectiveness of clinical staging,and has promoting effect on early rehabilitation.