摘要
目的探讨经阴道彩色多普勒超声在诊断子宫内膜病变中的应用价值。方法回顾性分析我院收治的167例经手术病理证实的子宫内膜病变患者的经阴道彩色多普勒超声检查资料。结果子宫内膜增生过长及子宫内膜癌患者内膜厚度均>10 mm,最厚达27 mm;子宫内膜癌均伴有宫腔积液;子宫内膜增生过长、子宫内膜息肉、子宫粘膜下肌瘤之间的动脉阻力指数(RI)无显著差异(P>0.05),而这些良性病变与子宫内膜癌患者的RI值有显著差异(P<0.05)。与病理结果相比,经阴道彩色多普勒超声对子宫内膜息肉、子宫粘膜下肌瘤、子宫内膜增生过长、子宫内膜癌的诊断符合率分别为91.3%、95.1%、96.9%和92.0%。结论经阴道彩色多普勒超声对子宫内膜病变具有较高的检出率,且对患者子宫几乎没有损伤,值得在临床上推广。
ObjectiveTo investigate the effectiveness of application of TVCDS （Trans-Vaginal Color Doppler Ultrasonography） in diagnosis of endometrial lesions.MethodsTVCDS images of 167 patients who were pathologically conifrmed by surgery with endometrial lesions were retrospectively analyzed. ResultsThe average endometrial thickness of patients with endometrial hyperplasia and endometrial cancers was 〉10 mm with the maximum thickness of 27 mm. All the endometrial carcinoma were accompanied with endometrial effusions. No statistically significant differences were found between the arterial RI （Resistance Index） of endometrial hyperplasia, endometrial polyps and submucous myoma （P〉0.05）. There were statistically signiifcant differences between the RI of benign lesions and patients with endometrial carcinoma （P〈0.05）. In contrast with the pathologically-conifrmed results, the accurate diagnostic rate of TVCDS in endometrial polyps, submucous myoma, endometrial hyperplasia and endometrial carcinoma were 91.3%, 95.1%, 96.9% and 92.0% respectively.ConclusionTVCDS demonstrated itself as a diagnostic method with the high detection rate of endometrial lesions and minimal damage to patients’ uteruses, which deserved wider clinical promotion.
出处
《中国医疗设备》
2015年第6期59-61,共3页
China Medical Devices
