摘要
目的探讨经阴道超声诊断妇科宫腔疾病的作用价值。方法选取2018年3月~2019年3月我院妇科收治的244例疑似子宫病变患者,分别经腹部、阴道行超声检查,并与病理诊断结果进行对照比较腹部超声、阴道超声的诊断准确率。结果在244例疑似病变中,经阴道超声检查,共检出子宫内膜癌3例、子宫内膜息肉9例、黏膜下肌瘤9例、子宫内膜增厚29例;经腹部超声检查,分别检出子宫内膜息肉3例、黏膜下肌瘤2例、子宫内膜增厚24例。以病理结果为金标准,经阴道超声检查的准确度为92.59%,而经腹部超声检查的准确度为53.70%,经阴道超声检查的准确度明显高于经腹部超声,差异有统计学意义(P<0.05)。结论经阴道超声在妇科宫腔疾病的诊断准确率显著高于腹部超声,具有临床应用价值。
Objective To explore the role of transvaginal ultrasound in the diagnosis of gynecological uterine diseases. Methods 244 patients with uterine cavity lesions admitted to gynecology department of our hospital from March 2018 to March 2019 were examined by transabdominal and transvaginal ultrasonography, and the results were compared with pathological diagnosis. Results In 244 suspected patients, 96 cases of cervical erosion, 71 cases of cervical polyps and 77 cases of cervicitis were detected by transvaginal ultrasound. After histopathological examination, 32 cases of endometrial thickening, 10 cases of submucosal myoma, 9 cases of endometrial polyps, 3 cases of endometrial cancer were detected by pathological examination, and no gynecological diseases were detected in the rest. The accuracy of transvaginal ultrasonography and abdominal ultrasonography was 92.59% and 53.70% respectively. There was a significant difference in the detection rate of endometrium between the two methods(P < 0.05). Conclusion The application of transvaginal ultrasound in the diagnosis of gynecological uterine cavity diseases can obtain higher accuracy and prominent clinical value.
作者
周锦红
庄传记
ZHOU Jin-hong;ZHUANG Chuan-ji(Ultrasound Department of Jingdezhen Second People's Hospital,Jingdezhen,Jiangxi,333000,China)
出处
《蛇志》
2019年第4期485-486,534,共3页
Journal of Snake
基金
景德镇市科技计划项目
关键词
阴道超声
腹部超声
宫腔疾病
Vaginal ultrasound
Abdominal ultrasound
Uterine diseases
