摘要
目的分析经阴道彩色多普勒超声在子宫内膜病变患者中的应用价值。方法选取2021年2月至2022年4月南昌大学第四附属医院收治的88例子宫内膜病变患者作为研究对象,所有患者均接受经阴道彩色多普勒超声及病理学检查,按照病理学检查结果将患者分为息肉组与癌变组,每组44例。比较两组二维超声子宫内膜情况、病灶血流动力学情况、经阴道彩色多普勒超声血流相关参数;以病理学检查结果为金标准,分析经阴道彩色多普勒超声对子宫内膜癌变的诊断效能。结果癌变组子宫内膜厚度厚于息肉组,内膜-肌层分界清晰、病灶回声均匀占比均低于息肉组,差异有统计学意义(P<0.05);癌变组血流丰富占比高于息肉组,差异有统计学意义(P<0.05);癌变组血流阻力指数(RI)、搏动指数(PI)均低于息肉组,时间平均峰值流速(TAP)慢于息肉组,差异有统计学意义(P<0.05);经阴道彩色多普勒超声对子宫内膜癌变的诊断灵敏度为86.36%,特异度为84.09%,准确度为85.23%;诊断息肉的灵敏度为84.09%,特异度为86.36%,准确度为85.23%。结论经阴道彩色多普勒超声对子宫内膜病变的诊断准确率较高,能通过血流动力学、RI、PI、TAP及影像学表现鉴别息肉或癌变。
Objective To analyze the application value of transvaginal color Doppler ultrasound in the patients with endometrial lesions.Methods 88 patients with endometrial lesions admitted to the Fourth Affiliated Hospital of Nanchang University from February 2021 to April 2022 were selected as the research subjects,all patients underwent transvaginal color Doppler ultrasound and pathological examination,they were divided into the polyp group and the cancer group according to the pathological examination results,with 44 cases in each group.The endometrial condition of two-dimensional ultrasound,hemodynamics of the lesion,and blood flow related parameters of transvaginal color Doppler ultrasound were com-pared between the two groups;taking the pathological examination results as the gold standard,the diagnostic efficacy of transvaginal color Doppler ultrasound in endometrial cancer was analyzed.Results The endometrium thickness in the cancer group was thicker than that in the polyp group,the proportion of clear intima-muscle boundary and uniform echo were lower than those in the polyp group,the differences were statistically significant(P<0.05);the proportion of abundant blood flow in the cancer group was higher than that in the polyp group,and the difference was statistically sig-nificant(P<0.05);the blood flow resistance index(RI),pulsation index(PI)in the cancer group were lower than those in the polyp group,and the time-average peak flow velocity(TAP)in the cancer group was slower than that in the polyp group,the differences were statistically significant(P<0.05);the sensitivity,specificity and accuracy of transvaginal ultrasound for endometrial cancer were 86.36%,84.09%,and 85.23%,respectively;the sensitivity,specificity and accuracy of polyp diagnosis were 84.09%,86.36%and 85.23%respectively.Conclusion The accuracy of diagnosis of en-dometrial lesions is high,and polyps or cancerosis can be identified by hemodynamics,RI,PI,TAP and imaging findings.
作者
付文婷
罗燕
熊小玲
FU Wenting;LUO Yan;XIONG Xiaoling(Department of Functional Inspection,Fourth Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330009,China)
出处
《当代医学》
2024年第4期102-106,共5页
Contemporary Medicine
基金
江西省教育厅科学技术研究项目(赣教技字【GJJ】170110号)。
关键词
子宫内膜息肉
子宫内膜癌
经阴道彩色多普勒超声
血流
影像学
平均血流速度
Endometrial polyps
Endometrial cancer
Transvaginal color Doppler ultrasound
Blood flow
Imaging
Time-average peak flow velocity
