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子宫内膜癌是妇科常见的恶性肿瘤之一,多发生于绝经期以后。近年来,随着女性平均寿命的延长,子宫内膜癌有明显上升趋势。我科自1997年10月至1999年12月对35例子宫内膜癌采用彩色多普勒超声检查,现报道如下。 资料与方法 本组年龄最大71岁,最小44岁,平均年龄57岁。其中绝经前4例,绝经期6例,绝经后25例。均有不规则阴道流血。流血时间最长为2年,最短为三个月。所有病例均有不同程度的下腹痛及腰骶部疼痛。病理报告腺癌25例,腺鳞癌4例,乳头状浆液性癌3例,透明细胞癌3例。 使用仪器为TOSHIBA SSA—340彩超仪,ALKA SSD—1200型B超诊断仪,探头频率3.5MHz。患者适度充盈膀胱后平卧,检查子宫大小、内膜厚度、肌层状况,用彩色多普勒观察子宫动脉及病灶血流情况,测值并记录。
Endometrial cancer is one of the common gynecological malignancies, mostly in the postmenopausal period. In recent years, with the extension of the average life expectancy of women, endometrial cancer showed a clear upward trend. Our department from October 1997 to December 1999 on 35 cases of endometrial cancer using color Doppler ultrasound, are reported below. Materials and methods The oldest group of 71 years old, minimum 44 years old, average age 57 years old. Of which 4 cases before menopause, menopause in 6 cases, 25 cases after menopause. Irregular vaginal bleeding. Bleeding time up to 2 years, the shortest of three months. All cases have different degrees of lower abdominal pain and lumbosacral pain. Pathological report of 25 cases of adenocarcinoma, adenosquamous carcinoma in 4 cases, 3 cases of papillary serous carcinoma, 3 cases of clear cell carcinoma. The instruments used were TOSHIBA SSA-340 Color Monitor, ALKA SSD-1200 B Ultrasound Analyzer, probe frequency 3.5MHz. After filling the bladder, the patient was supine, and the uterine size, intima thickness and myometrial status were examined. The uterine artery and focal blood flow were observed by color Doppler and the values were measured and recorded.