目的 探究超声及CT在子宫内 膜癌术前分期中的诊断价值。方法 回 顾性分析我院2014年1月至2018年2月间 收治的81例子宫内膜癌患者的影像学资 料，所有患者术前两周内均行经阴道超 声及CT检查，术后经病理证实。根据影 像学检查结果进行术前分期及淋巴结转 移情况分析，以术后病理结果作为金标 准，比较两种方式对子宫内膜癌临床分 期及淋巴结转移的诊断效能。结果 超声 对子宫内膜癌临床分期的诊断准确性为 75.31%(61/81)；CT对子宫内膜癌临床分 期的诊断准确性为83.95%(68/81)，两种 方法诊断准确性比较差异无统计学意义 (P>0.05)；CT对子宫内膜癌淋巴结转移 患者检出率高于经阴道超声，差异具统 计学意义(P<0.05)。结论 超声及CT对子 宫内膜癌临床分期的诊断价值相当，在 淋巴结检出方面CT更具优势。

Objective To investigate the value of ultrasound and CT in the preoperative stages diagnosis of endometrial cancer. Methods The imaging data of 81 patients with endometrial cancer admitted to the hospital from January 2014 to February 2018 were retrospectively analyzed. All patients underwent transvaginal ultrasound and CT examination within two weeks before surgery, confirmed by pathology after surgery. The preoperative stages and lymph node metastasis were analyzed according to the results of imaging examination. Taking the postoperative pathological results as the golden standard, the diagnostic efficiencies for clinical stages and lymph node metastasis of endometrial cancer by the two methods were compared. Results The accuracy for the diagnosis of clinical stages of endometrial cancer by ultrasound was 75.31% (61/81). The above index by CT was 83.95% (68/81). The was no significant difference in the diagnosis accuracy by the two methods (P>0.05). The detection rate for the diagnosis of patients with endometrial cancer lymph node metastasis by CT was higher than that by transvaginal ultrasound (P<0.05). Conclusion Ultrasound and CT have similar diagnostic value for clinical stages of endometrial cancer. CT is superior in lymph node detection.