摘要
目的:探讨经阴道超声造影(TVSHG)在子宫内膜息肉诊断中的价值。方法对临床拟诊内膜息肉的82例患者先后行TVS、TVSHG检查。以宫腔镜手术-病理检查结果为诊断金标准,将TVS与TVSHG两种检查的结果相比较。结果在82例患者中,病检出内膜息肉59例、非内膜息肉23例(包括:正常内膜3例、内膜增生19例、粘膜下肌瘤1例)。TVSHG诊断内膜息肉的准确率(92.68%)显著高于TVS(81.70%),造影前后比较,差异有统计学意义(P<0.05)。结论 TVSHG检查具有简便、无创、准确率高的特点,是子宫内膜息肉筛查、诊断的首选、可靠方法,值得临床推广应用。
Objective To explore the clinical value of transvaginal sonohysterography(TVSHG)in the diagnosis of endometrial lesions.Methods 82 cases of patients clinical y intended to diagnose endometrial polyps were successively carring TVS,TVSHG checks.The hysteroscopic surgery-pathology results as the gold standard for diagnosis,the TVS with TVSHG examination results are compared.Results In 82 patients,the disease through examination,endometrial polyps in 59 cases,23 cases of non-endometrial polyps(including 3 cases of normal endometrium,19 cases of endometrial hyperplasia,one case of submucosal fibroids).TVSHG diagnostic accuracy rate(92.68%)was significantly higher than TVS(81.70%),angiography before and after,the dif erence was statistical y significant between the two methods(p<0.05).Conclusion TVSHG check is a simple,non-invasive,high accuracy characteristics of endometrial polyp screening,diagnosis of choice,reliable way,worthy of clinical application.
作者
杨正芳
高技连
YANG Zheng-fang;GAO Ji-lian(Zitong People's Hospital Department of Ultrasound,Zitong Sichuan,622150,China)
