摘要
目的:研究探讨经腹彩超对子宫内膜良恶性病变的临床诊断价值。方法:选择2015年1月-2018年1月笔者所在医院80例子宫内膜良恶性病变患者,所有患者均接受经腹彩超检查,以手术病理诊断结果为参照,分析经腹彩超对子宫内膜病变的诊断结果,并分析诊断结果之间的一致性。结果:经腹彩超对子宫内膜良恶性病变的诊断灵敏度、特异度、准确率分别为93.88%、96.77%、95.00%,其对子宫内膜炎、良性子宫内膜增生、子宫内膜癌的诊断符合率与手术病理诊断比较差异均无统计学意义(P>0.05)。经一致性检验,经腹彩超诊断结果与手术病理诊断结果之间的一致性良好。结论:经腹彩超可对子宫内膜良恶性病变予以准确鉴别区分,具有较好的定性诊断价值,可作为子宫内膜病变主要的术前诊断方法。
Objective：To investigate the clinical diagnostic value of transabdominal color Doppler ultrasound in endometrial benign and malignant lesions.Method：80 cases of endometrial benign and malignant lesions in our hospital during January 2015 to January 2018 were selected.All patients received abdominal color Doppler ultrasonography,based on the results of surgical pathology diagnosis,the diagnostic results of transabdominal color Doppler ultrasound for endometrial lesions were analyzed,and the consistency of diagnostic results were analyzed.Result： The sensitivity,specificity and accuracy of transabdominal color Doppler ultrasound in the diagnosis of benign and malignant endometrial lesions were 93.88%,96.77% and 95.00% respectively.The diagnostic accuracy of endometritis,benign endometrium hyperplasia and endometrial carcinoma was not statistically significant compared with the pathologic diagnosis of endometrium（P〉0.05）.The consistency between transabdominal color Doppler ultrasound and operative pathology was consistent.Conclusion：Abdominal color Doppler ultrasound can accurately differentiate between benign and malignant endometrium,and has good diagnostic value,it can be used as the main preoperative diagnosis method for endometrial lesions.
作者
徐小园
XU Xiaoyuan(Qianjiang Central Hospital,Qianjiang 433100,China)
出处
《中外医学研究》
2018年第27期53-54,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
子宫内膜良恶性病变
诊断
经腹彩超
Endometrial lesion
Diagnosis
Abdominal color Doppler ultrasound
