CAJ | 학술논문

目的：探讨经阴道超声（TVS）检查子宫内膜癌术前肌层浸润深度的诊断价值。方法：34例子宫内膜癌患者术前应用TVS进行检查，测评子宫内膜癌肌层浸润深度，并与术后病理检查结果对照，探讨其诊断符合率与准确率。结果：TVS判断内膜癌肌层浸润的准确性85％（29/34）、判断浅肌层浸润的敏感性80％（20/25）、特异性100％（9/9）、阳性预测值100％（20/20）、阴性预测值64％（9/14）。结论：术前TVS检测技术有助于判断子宫内膜癌的肌层浸润深度，可为临床术前制定治疗方案提供重要依据。
목적：탐토경음도초성（TVS）검사자궁내막암술전기층침윤심도적진단개치。방법：34례자궁내막암환자술전응용TVS진행검사，측평자궁내막암기층침윤심도，병여술후병리검사결과대조，탐토기진단부합솔여준학솔。결과：TVS판단내막암기층침윤적준학성85％（29/34）、판단천기층침윤적민감성80％（20/25）、특이성100％（9/9）、양성예측치100％（20/20）、음성예측치64％（9/14）。결론：술전TVS검측기술유조우판단자궁내막암적기층침윤심도，가위림상술전제정치료방안제공중요의거。
Objective:To discuss the clinical value of examining and diagnosing the depth of muscular layer infil-tratioin before operations for endometrial carcinoma by TVS.Methods:All 34 patients of endometrial carcinoma were examined by TVS before operation.Depth of muscular layer infiltration were assessed and compared with the result of pathological examination after operation.The coincidence rate and accuracy of the diagnosis were discussed.Results:The accuracy of diagnosis muscular layer infiltration of endometrial carcinoma by TVS was 85%(29/34),sensitivity was 80%(20/25),specificity was 100%(9/9),positive predicative value was 100%(20/20)and negative predica-tive value was 64%(9/14).Conclusion:Diagnosis by TVS before operation is helpful for judging the depth of muscu-lar layer infiltration of endometrial carcinoma,and offers reasonable options for treatment plan before operations.