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目的探讨宫腔镜联合B超检查在子宫内膜癌诊断中的价值。方法将术前诊断子宫内膜癌并经手术治疗的35例患者分为诊刮组(17例)、宫腔镜B超组(18例),在宫腔镜下行分段诊刮术,同时B超观察宫壁厚度、宫壁回声、肌层浸润程度等。比较2组术前诊断和手术-病理分期符合率。结果诊刮组和宫腔镜B超组术前诊断与术后病理诊断符合率分别为52.9%和88.9%,2组比较有显著性差异;2组术前分期为Ⅰ期、Ⅱ期患者中,宫腔镜B超组术后经病理证实符合率分别为92.3%和100%,高于诊刮组的69.2%和75.0%,诊断符合率有显著性差异。结论 B超联合宫腔镜检查有助于提高子宫内膜癌患者术前诊断和临床分期的准确性。
Objective To investigate the value of hysteroscopy combined with ultrasound in the diagnosis of endometrial carcinoma. Methods 35 cases of endometrial cancer who underwent preoperative diagnosis and surgery were divided into the curettage group (17 cases) and the hysteroscopy B-mode group (18 cases) B-observed uterine wall thickness, uterine wall echo, myometrial infiltration and so on. Preoperative diagnosis and surgical - pathological staging coincidence rate were compared between the two groups. Results The coincidence rates of preoperative diagnosis and postoperative pathological diagnosis between curettage group and hysteroscopic B-mode ultrasound group were 52.9% and 88.9%, respectively. There were significant differences between the two groups . The coincidence rates of Hysteroscopic B-mode ultrasonography after operation were 92.3% and 100%, respectively, which were higher than 69.2% and 75.0% of the curettage group, and the diagnostic coincidence rates were significantly different. Conclusion B-Hysteroscopy can help improve the accuracy of preoperative diagnosis and clinical staging of patients with endometrial cancer.