[超声在子宫内膜癌早期检测中的价值]
[Value of ultrasound in early detection of endometrial carcinoma].
作者信息
Pertl B, Lahousen M, Pieber D, Heydarfadai H J, Giuliani A
机构信息
Geburtshilflich-Gynäkologische, Universitätsklinik Graz, Osterreich.
出版信息
Gynakol Geburtshilfliche Rundsch. 1996;36(1):14-20. doi: 10.1159/000272606.
OBJECTIVE
The purpose of our study was to examine the diagnostic value of the biometry of the endometrium for the early detection of endometrial carcinomas in postmenopausal women as well as to compare our results with those of other authors.
METHODS
In 69 post menopausal women the endometrial thickness measured by vaginosonography before diagnostic curettage or hysterectomy was compared with the histological results.
RESULTS
Using a cutoff value of 6 mm, a sensitivity of 96%, a specificity of 24%, a positive predictive value of 16%, and a negative predictive value of 97% were established.
CONCLUSIONS
Endovaginal ultrasound evaluation of the endometrial thickness is not specific enough to be used screening method for the early detection of endometrial carcinoma.
目的
我们研究的目的是检测子宫内膜生物测量法对绝经后女性子宫内膜癌早期检测的诊断价值，并将我们的结果与其他作者的结果进行比较。
方法
在69名绝经后女性中，将诊断性刮宫或子宫切除术前经阴道超声测量的子宫内膜厚度与组织学结果进行比较。
结果
采用6mm的临界值时，灵敏度为96%，特异度为24%，阳性预测值为16%，阴性预测值为97%。
结论
经阴道超声评估子宫内膜厚度作为子宫内膜癌早期检测的筛查方法特异性不足。
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