经阴道彩色多普勒超声诊断子宫内膜良恶性病变的临床应用(附88例报告)

Clinical Application of Transvaginal Color Doppler Ultrasonic Diagnosis in Benign and Malignant Endometrial Disease and Clinical Report of 88 Cases

目的:分析经阴道彩色多普勒超声对子宫内膜良、恶性病变的诊断及鉴别诊断价值。方法:应用经阴道彩色多普勒超声对88例子宫内膜病变患者检测子宫内膜厚度、病变形态及血流状态,观察病变处血流阻力指数,并与术后病理结果对照分析。结果:24例病理诊断为子宫内膜癌,其中与术前超声诊断结果相符合19例,2例误诊为子宫内膜增生,2例误诊为黏膜下肌瘤,1例误诊为宫腔积液。34例病理诊断为子宫内膜息肉,20例为子宫内膜增生,10例黏膜下肌瘤。与术前超声诊断结果相对照发现:超声诊断中各有1例误诊为子宫内膜癌,1例误诊为子宫内膜增生。结论:经阴道彩色多普勒超声能清晰显示各种子宫内膜病变,诊断符合率高,对子宫内膜良、恶性病变有较高的诊断价值。

Objective：To analyze endometrial lesions by transvaginal doppler ultrasound.Methods：88 cases of endometrial lesions were detected by transvaginal color Doppler ultrasound in endometrial thickness,lesion morphology and blood flow,and observed the diseased artery resistance index.Then the pathological results were compared.Results：Pathological diagnosis of 24 cases of endometrial carcinoma with preoperative diagnosis consistent bounce back in 19 cases,2 cases were misdiagnosed as endometrial hyperplasia,2 cases were misdiagnosed as submucosal fibroids,one case was misdiagnosed as uterine fluid.Pathological diagnosis of 34 cases of endometrial polyps,20 cases of endometrial hyperplasia,10 cases of submucous myoma diagnosis and preoperative bounce contrast found：1 case of ultrasound diagnosis was misdiagnosed as endometrial cancer.One case was misdiagnosed as endometrial hyperplasia.Conclusion：Transvaginal color Doppler ultrasound can clearly show various endometrial lesions,diagnostic rate and the endometrium in benign and malignant lesions it has a high diagnostic value.