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目的探讨应用超声诊断子宫内膜癌的临床意义。方法采用GELOG、MINDRY、百胜AU3 B超仪及百胜AU6彩超诊断仪器,探头频率3.5～6.5 MHz扇形探头常规扫查子宫及附件区,以横切或纵切能清楚显示子宫内膜进行测量,取其均值,同时观察子宫形态、大小、附件及其与周围组织的关系,在纵切面上重点观察内膜结构、回声特征,对具有特征性改变者摄片留取资料,对检查结果详细纪录,与病检结果一一对照。结果 82例经超声初步诊断子宫内膜癌患者中经诊断性刮宫并送病检,有49人确诊为子宫内膜癌,,约占总人数的59.7%;14人确诊为子宫内膜炎,约占总人数的17.1%;10人确诊为功能失调性子宫出血,约占总人数的12.2%;5人确诊为子宫黏膜下肌瘤,约占总人数的6.1%;3人确诊为宫腔息肉,约占总人数的3.7%;1人被诊断为不全流产,约占总人数的4.2%。结论超声发现子宫内膜癌的机率很高,是提高子宫内膜癌诊断率的重要手段。
Objective To investigate the clinical significance of using ultrasound to diagnose endometrial cancer. Methods GELOG, MINDRY, Yum AU3 B-ultrasonic instrument and Yum AU6 color ultrasonic diagnostic instrument, the probe frequency 3.5 ~ 6.5 MHz sector probe conventional scanning uterus and attachment area to the transverse or longitudinal cut can clearly show the endometrium measurement, take The mean value of the uterus at the same time observe the shape, size, attachment and its relationship with the surrounding tissue in the longitudinal section focused on the observation of endometrial structure, echo characteristics, changes in the characteristics of the radiologist to take information on the examination results detailed records, Check with the results of disease control. Results 82 cases of endometrial cancer by ultrasonography were diagnosed by the curettage and sentinel examination, 49 were diagnosed as endometrial cancer, accounting for 59.7% of the total number; 14 were diagnosed as endometritis, Accounting for 17.1% of the total number; 10 were diagnosed with dysfunctional uterine bleeding, accounting for 12.2% of the total number; 5 were diagnosed as uterine submucosal fibroids, accounting for about 6.1% of the total number; 3 were diagnosed as uterine cavity Polyps, accounting for about 3.7% of the total; one was diagnosed as incomplete abortion, accounting for 4.2% of the total number. Conclusion The high probability of detecting endometrial cancer by ultrasound is an important means to improve the diagnosis rate of endometrial cancer.