3种方法诊断子宫黏膜下肌瘤的效果比较

THE COMPARISON OF 3 METHODS IN THE DIAGNOSIS OF THE SUBMUCOUS MYOMA OF UTERUS

目的探讨盐水灌注宫腔造影对诊断子宫黏膜下肌瘤的价值。方法选取2009年1月—2010年1月,因不规则阴道出血来院就诊的患者100例,均行经阴道超声、盐水灌注宫腔造影、诊断性刮宫3种方法检查,对其结果进行回顾性分析比较。结果经病理诊断证实的9例子宫黏膜下肌瘤患者,经阴道超声、盐水宫腔造影、诊断性刮宫检查的诊断符合率分别为77.8%、100%、0%。结论盐水灌注宫腔造影可提高子宫内膜的成像质量和诊断子宫黏膜下肌瘤的准确性,同时为临床提供诊疗依据。

Objective To investigate the value of intrauterine saline infusion imaging in the diagnosis of the submucous myoma of uterus. Methods One hundred patients with irregular vaginal bleeding from January 2009 to January 2010 were selected. The results of transvaginal sonography , intrauterine saline infusion imaging, diagnostic curettage were retrospectively analyzed. Results Nine cases of the submucous myoma of uterus were confirmed by pathological diagnosis. The diagnostic coincidence of transvaginal sonography, saline infusion imaging,diagnostic curettage was 77.8% , 100% , 0% respectively. Conclusion Intrauterine saline infusion imaging can improve the image quality for uterine endometrium and diagnostic accuracy, simultaneously, at the same time it can provide diagnostic basis for clinic.