经阴道超声宫腔造影诊断子宫内膜病变

Diagnosis of Endometrial Lesions by Transvaginal Ultrasonic Hysterography

目的评价经阴道超声宫腔造影对子宫内膜病变的诊断价值。方法对29例经阴道超声显示非分泌期子宫内膜厚度≥14mm,且CDFI血流信号非异常丰富者行宫腔造影术,并与宫腔镜检查及病理结果对照。结果21例诊断为子宫内膜息肉(其中2例子宫内膜增生过长误诊),5例诊断为黏膜下肌瘤,3例子宫内膜单纯性增生,宫腔造影前敏感性71%,特异性85%,准确性75%;宫腔造影后敏感性87%,特异性93%,准确性95%。结论经阴道超声宫腔造影方法简便、易行、无创且准确性高,是诊断子宫内膜病变的可行方法。

Objective To evaluate the diagnostic value of transvaginal ultrasonic hysterography of endometrial lesions. Methods The cases whose transvaginal ultrasonography showed endometial thickness of non-secretory stage ≥14mm and color Doppler flow image（CDFI） showed no blood flow signal anomal affluence were performed hysterography. The results of hysterography were compared with those of hysteroscopy and pathology, Results In 29 cases, 21 were diagnosed as endometrial polyp（2 cases were misdiagnosed as endometrial hyperplasia）, 5 as submucous myoma and 3 as endometrial simple hyperplasia. Before hysterography the sensitivity was 71% and specificity was 85% and accuracy was 75%. After hysterography the sensitivity was 87% and specifity was 93% and accuracy was 95%. Conelusion Transvaginal ultrasonic hysterography is convenient, easy, traumaless and high-accurate. It is a reliable method to diagnose endometrial lesions.