摘要
目的探讨经阴道彩色多普勒超声(TV-CDU)诊断子宫内膜病变的价值。方法对经诊断性刮宫术后病理证实的54例子宫内膜病变患者的TV-CDU声像图进行回顾性分析,并与病理结果对照。结果 54例患者子宫内膜诊断性刮宫术后病理分类包括子宫内膜癌4例、子宫内膜息肉8例、子宫内膜炎5例、单纯性子宫内膜增生过长37例,超声声像图表现以内膜增厚为主,多伴内膜回声增强、不均或宫腔内混合回声。以病理结果为标准,TV-CDU诊断子宫内膜疾病的符合率为81.48%。结论 TV-CDU对于子宫内膜病变的鉴别诊断具有较高的价值,超声检查时应注意测量子宫内膜厚度,观察内膜回声特点、内膜形态、内膜与肌层的关系、内膜内血流情况及阻力指数。
Objective To observe the value of transvaginal color Doppler ultrasonography （TV-CDU） in diagnosis of endometrial lesions. Methods TV-CDU manifestations of 54 patients with endometrial lesions confirmed pathologically were retrospectively analyzed. Results The endometrial lesions included endometrial cancer （n=4）,endometrial polyp （n=8）,endometritis （n=5）,and simple hyperplasia of endometrium （n=37）. Ultrasonic imaging mainly showed as endometrial thickening,also accompanied with echo enhancement,disorder echo,or no even echo in cervice. The diagnostic accuracy of TV-CDU in the diagnosis of endometrial lesions was 81.48%. Conclusion TV-CDU has high value in differential diagnosis of endometrial lesions. More attention should be paid to endometrial thickness,endometrial echo characteristic,endometrial morphology,and the relationship between endometrium and the myometrium,as well as endometrial blood flow and resistance index.
出处
《中国医学影像技术》
CSCD
北大核心
2010年第10期1937-1939,共3页
Chinese Journal of Medical Imaging Technology
