经阴道超声检查对子宫内膜息肉的诊断价值探讨

Diagnostic value investigation of transvaginal sonography for endometrial polyp examination

目的探讨经阴道超声检查诊断子宫内膜息肉的价值。方法回顾分析126例经阴道超声诊断为子宫内膜息肉患者的临床资料。结果经阴道超声诊断为子宫内膜息肉的126例患者经宫腔镜手术和病理证实符合率为89.7%(113/126),误诊率为9.3%(13/126)。声像图呈高回声团伴小暗区90例(71.4%);呈高回声团33例(26.2%);呈中等偏低回声团3例(2.4%)。彩色多普勒声显示血流信号114例(90.5%);未显示血流信号12例(9.5%),SPV:(11.7±4.2)cm/s;RI(0.58±0.05)。结论经阴道超声检查诊断子宫内膜息肉有较高的价值,是诊断子宫内膜息肉的重要手段。

Objective Explore diagnostic value of transvaginal sonography for endometrial polyp examination.Methods Retrospective analysis clinical data of 126 endometrial polyp patients diagnosed by transvaginal sonography.Results 126 endometrial polyp patients diagnosed by transvaginal sonography were confirmed by hysteroscope operation and pathological examination,the coincidence was 89.7%（113/126）,misdiagnosis rate was 9.3%（13/126）.Sonogram showed hyperechogenicity accompanying with small area opacal were 90 cases（71.4%）;Hyperechogenicity were 33 case（26.2%）;middle or slightly low echogenic area were 3 case（2.4%）.Color Doppler displayed blood flow signal were 114 case（90.5%）;no blood flow signal were 12 case（9.5%）,SPV：（11.7±4.2）cm/s;RI 0.58±0.05.Conclusion Transvaginal sonography examination for diagnosis of endometrial polyp has high value,it is a vital method for diagnosis of endometrial polyp.