绝经后妇女子宫内膜癌筛查方法445例分析

作者：吴成1，高雨农2，马秀华3，高万里3，杨曦1，赵健1，陈锐1，张乃怿2，张楠1，廖秦平1

摘要：目的探讨绝经后妇女中进行子宫内膜癌筛查的适宜方法和策略。方法年7月至年3医院、医院医院接受子宫内膜液基细胞学检查的绝经后妇女共例，以分段诊刮、组织病理学为标准，评价子宫内膜细胞学（endometrialcytologicaltest,ECT）与经阴道超声（transvaginalultrasound,TVS）诊断子宫内膜癌或癌前病变的准确性。结果子宫内膜细胞学取材满意度高于诊刮（χ2=3.,P0.)。单独ECT阳性、单独TVS阳性、ECT和TVS阳性、ECT或TVS阳性诊断子宫内膜癌或癌前病变的敏感度分别为85.7%,83.9%,67.8%,96.4%,特异度分别为84.5%,20.6%,88.6%,21.7%,阳性预测值分别为64.0%,25.3%,65.5%,28.2%,阴性预测值分别为94.8%,80.0%,89.6%,95.0%,诊断准确性分别为84.8%,35.9%,83.5%,39.8%。结论ECT联合TVS是绝经后妇女进行子宫内膜癌筛查的适宜方法。关键词：子宫内膜癌；子宫内膜细胞学检查；经阴道超声中图分类号：R.74　文献标志码：A

Analysisofendometrialcarcinomascreeningmethodinpostmenopausalwomen.WUCheng*,GAOYu-nong,MAXiu-hua,GAOWan-li,YANGXi*,ZHAOJian*,CHENRui*,ZHANGNai-yi,ZHANGNan*,LIAOQin-ping*.*FirstHospital,PekingUniversity,Beijing,ChinaAbstract：ObjectiveToinvestigatetheappropriatemethodsandstrategiesofendometrialcancerscreeninginpostmenopausalwomen.MethodsAtotalofcasesofpostmenopausalwomenwereenrolledinthestudy,whoacceptedliquid-basedendometrialcytologyinthreehospitalsinPekingfromJulytoMarch.Weevaluatedtheaccuracyofliquid-basedendometrialcytologyandtransvaginalultrasoundas







































沈阳白癜风专科医院
白癜风能治吗