摘要
目的探讨子宫内膜息肉患者经阴道超声诊断良恶性后对其诊断准确率、良恶性内膜厚度与内膜动脉血流情况的临床价值。方法选择120例子宫内膜息肉患者作为研究对象,病例选取时间为2020年1月-2021年9月,两组均接受病理检查、经阴道超声诊断,探讨经阴道超声诊断的价值及良恶性患者内膜厚度、内膜动脉血流情况。结果病理结果中,120例患者良性103例,占比85.83%,恶性17例,占比14.17%;经阴道超声的结果中,120例患者良性99例,确诊90例,恶性21例,确诊15例;经阴道超声诊断的准确率为87.50%(105/120),特异度为87.38%(90/103),灵敏度为88.24%(15/17);病变分型检查结果中,病理结果、经阴道超声结果对比,并无明显差异(P>0.05);良性患者子宫内膜厚度,低于恶性患者(P<0.05);良性患者血流显示率、RIen高于恶性患者(P<0.05);两组对比PSVen,无明显差异(P>0.05)。结论子宫内膜息肉良恶性临床诊断中,经阴道超声检查的准确率较高,与病理结果相比,在病变分型诊断符合率上,并无较大差异;良恶性病变患者子宫内膜厚度以及内膜动脉血流情况相对比,差异表现明显,可为临床提供一定支持。
Objective To explore the clinical value of the diagnostic accuracy,benign and malignant endometrial thickness and endometrial arterial blood flow in patients with endometrial polyps after transvaginal ultrasound diagnosis of benign and malignant.Methods In the selected hospital,a total of 120 patients with endometrial polyps were selected Frcm January 2020 to September 2021,both groups underwent pathological examination and transvaginal ultrasonography to explore the diagnostic value of transvaginal ultrasonography,and the diagnostic value of transvaginal ultrasonography.Intimal thickness and intimal arterial blood flow in malignant patients.Results Among the pathological results,103 of the 120 patients were benign,accounting for 85.83%,and 17 were malignant,accounting for 1417%;among the 120 patients,99 were benign,90 were diagnosed and 21 were malignant.15 cases were diagnosed;the diagnostic accuracy rate of transvaginal ultrasonography was 87.50%(105/120),the specificity was 87.38%(90/103),and the sensitivity was 88.24%(15/17).There was no significant difference in the results of transvaginal ultrasound(P>0.05);tbe endanetrial thickness of benign patients was lower than that of malignant patients(P<0.05);the blood flow display rate and RIen of benign patients were higher than those of malignant patients(P<0.05).There was no significant difference between the two groups compared with PSVen(P>0.05).Conelusion In the clinical diagnosis of benign and malignant endometrial polyps,transvaginal ultrasonography has a higher accuracy rate and a higher coincidence rate of lesion classificatiai than pathological results.Ihe endanetrial thickness and endanetrial arterial blood flow in patients with benign and malignant lesions are relatively,the difference is obvious,which can provide some clinical support.
出处
《首都食品与医药》
2022年第16期78-80,共3页
Capital Food Medicine
关键词
子宫内膜息肉
经阴道超声
内膜厚度
内膜动脉血流
诊断价值
endometrial polyps
transvaginal ultrasound
endometrial thickness
endometrial arterial blood flow
diagnostic value
