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目的:探讨彩色多普勒超声诊断方式在子宫内膜癌患者筛查中的作用。方法:对收治的子宫内膜癌采用彩色多普勒超声诊断方式来筛查子宫内膜病变患者中的子宫内膜癌患者,并与病理结果进行了临床分析。结果:经彩色多普勒超声确诊子宫内膜癌32例,10例误诊为子宫内膜增殖;病理诊断结果显示高分化癌7例,2型腺癌5例,腺癌18例,子宫内膜癌11例,透明细胞癌1例。彩色多普勒超声结果与病理诊断结果相比显示诊断符合率为76.19%。结论:彩色多普勒超声具有简便、易操作、可重复、无损伤性等优点,可较准确地诊断子宫内膜癌并判断其肌层浸润程度,对鉴别宫腔内病变,尤其是子宫内膜癌的诊断与鉴别诊断有重要参考价值,可作为早期子宫内膜癌的筛选检查,为临床选择治疗方案提供了可靠依据。
Objective: To explore the role of color Doppler ultrasound in screening of patients with endometrial cancer. Methods: The endometrial carcinoma treated by color Doppler ultrasound diagnostic method to screen endometrial cancer patients with endometrial cancer patients, and the clinical analysis of pathological results. Results: 32 cases of endometrial carcinoma were diagnosed by color Doppler ultrasound and 10 cases were misdiagnosed as endometrial hyperplasia. The pathological diagnosis showed 7 cases of well-differentiated carcinoma, 5 cases of type 2 adenocarcinoma, 18 cases of adenocarcinoma, 11 cases of cancer, 1 case of clear cell carcinoma. Color Doppler ultrasound results and pathological diagnosis results showed that the diagnostic coincidence rate was 76.19%. Conclusion: Color Doppler ultrasound has the advantages of simple, easy to operate, repeatable, non-invasive and so on. It can diagnose endometrial cancer more accurately and determine the degree of myometrial invasion. It is helpful to distinguish intrauterine lesions, especially intrauterine Membrane cancer diagnosis and differential diagnosis of important reference value, can be used as a screening screening for early endometrial cancer, clinical treatment program provides a reliable basis.