论文部分内容阅读
目的探讨经阴三维超声(3D-TVS)联合宫腔镜在绝经后子宫内膜癌中的诊断价值。方法对192例患者均行3D-TVS及宫腔镜检查,同时行子宫内膜活检或诊断性刮宫,对结果进行对比分析。结果诊断子宫内膜癌的敏感性、特异性、阳性预测值、阴性预测值:3D-TVS分别为94.3%、82.0%、75.0%、96.2%;宫腔镜分别为80%、95.1%、90.3%、89.2%;二者联合分别为:100%、98.3%、97.2%、100%。结论 3D-TVS联合宫腔镜检查诊断子宫内膜癌的应用价值更高,是诊断子宫内膜癌的较为理想方法的方法之一。
Objective To investigate the value of transvaginal three-dimensional ultrasound (3D-TVS) combined with hysteroscopy in the diagnosis of postmenopausal endometrial cancer. Methods 192 patients underwent 3D-TVS and hysteroscopy, endometrial biopsy or diagnostic curettage at the same time, the results were compared. Results The sensitivity, specificity, positive predictive value and negative predictive value of 3D-TVS in diagnosis of endometrial carcinoma were 94.3%, 82.0%, 75.0% and 96.2% respectively. The hysteroscopy were 80%, 95.1% and 90.3 %, 89.2%; the combination of the two are: 100%, 98.3%, 97.2%, 100%. Conclusion 3D-TVS combined with hysteroscopy in the diagnosis of endometrial cancer is more valuable, is one of the more ideal method of diagnosis of endometrial cancer.