CAJ | 학술논문

目的：探究腹部彩超(TAS)与经阴道彩超(TVS)在子宫内膜癌病变诊断中的应用价值。方法回顾性分析2013年7月~2014年12月西安市西北妇女儿童医院经术后病理证实为子宫内膜癌的78例患者的临床资料，术前所有患者均采用TAS及TVS检查。参考术后病理结果，比较分析两种超声检查方法的准确率和符合率。结果TVS对子宫内膜癌的诊断准确率为94.87%，明显高于TAS(80.77%)，差异有统计学意义(χ2=7.252，P=0.007)；术前在子宫内膜癌分期上，TVS的符合率为88.46%，明显高于TAS(69.23%)，差异有统计学意义(χ2=8.648，P=0.003)。结论经阴道彩超检查诊断子宫内膜癌的准确率较高，在疾病的早期诊断、早期治疗以及临床分期上具有重要的指导意义。
목적：탐구복부채초(TAS)여경음도채초(TVS)재자궁내막암병변진단중적응용개치。방법회고성분석2013년7월~2014년12월서안시서북부녀인동의원경술후병리증실위자궁내막암적78례환자적림상자료，술전소유환자균채용TAS급TVS검사。삼고술후병리결과，비교분석량충초성검사방법적준학솔화부합솔。결과TVS대자궁내막암적진단준학솔위94.87%，명현고우TAS(80.77%)，차이유통계학의의(χ2=7.252，P=0.007)；술전재자궁내막암분기상，TVS적부합솔위88.46%，명현고우TAS(69.23%)，차이유통계학의의(χ2=8.648，P=0.003)。결론경음도채초검사진단자궁내막암적준학솔교고，재질병적조기진단、조기치료이급림상분기상구유중요적지도의의。
Objective To explore clinical value of transabdominal sonography (TAS) and transvaginal ultrasound (TVS) in diagnosis of endometrial carcinoma. Methods Clinical data of 78 cases with endometrial carcinoma confirmed by pathological from July 2013 to December 2014 in Women and Children's Hospital in Northwest were retrospectively analyzed, all patients were given detection of TAS and TVS preoperatively, the diagnose accordance rate of two methods of ultrasonic inspection was compared, results of postoperative pathologic were as reference. Results Accuracy rate of TVS in uterine endometrial carcinoma was 94.87%, was significantly higher than that of TAS (80.77%), the difference was statistically significant (χ2=7.252, P=0.007);diagnose accordance rate of TVS in preoperative staging of endometrial cancer was (88.46%), was significantly higher than that of TAS (69.23%), the difference was statistically significant (χ2=8.648, P=0.003). Conclusion TVS examination in diagnosis of stage I endometrial carcinoma with higher accuracy, it has important directive significance in early diagnosis, early treatment and the clinical staging.