摘要
探讨子宫内膜病变临床诊断中经阴道彩色多普勒超声的应用及其临床价值。为子宫内膜病变患者分别进行经腹部彩色多普勒超声与经阴道彩色多普勒超声检查,对比两种超声检查结果与病理检查结果的诊断符合率。结果显示,子宫内膜癌、子宫内膜息肉、子宫内膜增生、子宫黏膜下小肌瘤的诊断符合率在不同检查方法中差异显著(P<0.05),经阴道超声检查诊断符合率明显高于腹部超声。经阴道超声检查中良性病变患者中21.78%出现血流信号提示,恶性病变患者100%出现血流信号提示(P<0.05)。在宫内膜病变临床诊断中,经阴道彩色多普勒超声检查的诊断符合率较病理检验结果对比差异较小,诊断准确性较高,可作为已婚妇女子宫内膜病变的检测方法。
To explore the application and clinical value of transvaginal color Doppler ultrasound in the clinical diagnosis of endometrial lesions.The patients with endometrial diseases were examined by abdominal Doppler ultrasound and transvaginal color Doppler ultrasound,and the diagnostic coincidence rate of the two ultrasound results and pathological results was compared.The results showed that the diagnostic coincidence rate of endometrial cancer,endometrial polyp,endometrial hyperplasia,and submucosal myoma of uterus was significantly different in different examination methods(P<0.05).The diagnostic coincidence rate of transvaginal color Doppler ultrasound was significantly higher than that of abdominal Doppler ultrasound.Among the patients with benign lesions,21.78%presented blood flow signals,and the patients with malignant lesions,100%presented blood flow signals(P<0.05).There is little difference between the diagnostic accuracy of transvaginal color Doppler ultrasound and pathological examination in endometrial lesions,and the diagnostic accuracy is higher,which can be used as a detection method for endometrial lesions in married women.
作者
陈兰芳
蒋志宏
朱娟
CHEN Lanfang;JIANG Zhihong;ZHU Juan(Department of Ultrasound,Shaoguan Maternal and Child Health Hospital,Shaoguan 512026,Guangdong,P.R.China)
出处
《影像科学与光化学》
CAS
2020年第5期862-865,共4页
Imaging Science and Photochemistry
