摘要
目的评价经阴道多普勒超声诊断绝经后子宫内膜良恶性病变的价值。方法回顾性分析2014年6月至2015年6月在我院住院治疗的86例经手术病理证实的绝经后子宫内膜病变患者的临床诊治资料,比较良、恶性病变患者内膜的厚度、子宫动脉血流参数及内膜内动脉血流参数,观察良、恶性病变患者的血流显像的差异。结果经阴道多普勒超声诊断子宫内膜病变与病理检查结果的符合率为89.53%,灵敏度为80.00%,特异度为91.55%;恶性病变组的内膜厚度为(11.31±2.52)mm,大于良性病变组的(8.62±1.91)mm,差异有统计学意义(P<0.05);恶性病变组的子宫动脉收缩期峰值流速(PSV)及阻力指数(RI)分别为(22.36±1.76)cm/s、(0.76±0.19),良性病变组分别为(21.81±1.62)cm/s、(0.83±0.25),组间比较差异均无统计学意义(P>0.05);就子宫内膜内动脉血流参数来看,恶性病变组和良性病变组的内膜动脉收缩期峰值流速(PSVen)分别为(13.29±0.68)cm/s、(13.25±0.72)cm/s,组间比较无统计学意义(P>0.05),而恶性病变组和良性病变组的内膜动脉收缩期阻力指数(RIen)及血流显示率分别为(0.37±0.06)、86.67%和(0.46±0.11)、23.94%,两组比较差异均有统计学意义(P<0.05)。结论经阴道多普勒超声在诊断绝经后子宫内膜良恶性病变方面具有较高的诊断符合率,对子宫内膜恶性病变的准确诊断有一定的应用价值,值得临床上广泛应用。
Objective To explore the application effect of transvaginal doppler ultrasound in the diagnosis of postmenopausal endometrial lesions. Methods The results of transvaginal doppler ultrasound and pathological examination in 86 patients with postmenopausal endometrial lesions, who admitted to our hospital from June 2014 to June2015, were retrospectively analyzed. The endometrial thickness, uterine artery blood flow parameters and internal carotid artery blood flow parameters of patients with benign lesions and malignant lesions were compared. The difference of blood flow imaging of patients with benign lesions and malignant lesions was observed. Results The rate, sensitivity and specificity of the diagnosis of endometrial lesions and pathological examination results by transvaginal doppler ultrasound were respectively 89.53%, 80.00% and 91.55%. The endometrial thickness of malignant lesions group[(11.31±2.52) mm] was significantly larger than that of benign lesions group [(8.62±1.91) mm], P<0.05. There were no significant differences between malignant lesion group [(22.36±1.76) cm/s,(0.76±0.19), respectively] and benign lesions group [(21.81±1.62) cm/s,(0.83±0.25), respectively] on uterine arterial peak systolic velocity(PSV) and resistance index(RI), P>0.05. On endometrial artery blood flow parameters, the peak systolic flow velocity(PSVen) of the malignant lesions group and benign lesions group of were(13.29±0.68) cm/s,(13.25±0.72) cm/s, with no statistical significance between the groups(P>0.05). The intimal arterial systolic resistance index(RIen) and blood flow display rate of malignant lesions group and benign lesions group were(0.37±0.06), 86.67% and(0.46±0.11), 23.94%, and the difference were statistically significant(P<0.05). Conclusion In the diagnosis of postmenopausal endometrial malignant lesions, transvaginal color doppler ultrasound has high diagnostic coincidence rate. The accurate diagnosis of malignant endometrial lesions has certain application value. It is worthy to be widely used in cl
出处
《海南医学》
CAS
2016年第12期1981-1983,共3页
Hainan Medical Journal
基金
2014年海南省高等学校科学研究项目(编号:HNKY2014-56)
关键词
经阴道多普勒超声
病理检查
绝经后子宫内膜良恶性病变
诊断
Transvaginal doppler ultrasound
Pathological examination
Postmenopausal endometrial lesions
Diagnosis
