二维超声宫腔声学造影诊断子宫内膜息肉的价值

The clinical value of two-dimensional saline infusion sonohysterography in diagnosis for endometrial polyps

目的探讨二维超声宫腔声学造影(2D-SIS)对子宫内膜息肉的诊断价值。方法对临床拟诊内膜息肉的67例患者进行2D-TVS、2D-SIS及宫腔镜手术-病理检查,并对结果进行分析。结果以手术-病理结果作为诊断金标准,内膜息肉42例,粘膜下肌瘤8例,内膜增生9例,机化血凝块3例,正常内膜5例。2D-TVS对内膜息肉诊断的敏感性为81.0%,特异性68.0%,准确性76.1%;2D-SIS对内膜息肉诊断的敏感性为90.5%,特异性88.0%,准确性89.6%。造影前、后诊断准确率比较有显著差异(P<0.05)。结论 2D-SIS检查准确率高,是诊断子宫内膜息肉的可靠方法。

Objective To explore the clinical value of two-dimensional saline infusionsonohysterography（2D-SIS） in the diagnosis of endometrial polyps. Methods 67 patients suspected of having endometrial polyps were enrolled in this study.Surgical-pathologic examination were performed after 2D-TVS and 2D-SIS examination in all cases.The inspection results were analyzed.Results Surgical-pathologic results as a diagnostic gold standard,there were 42 cases of endometrial polyps;8 cases of submucous myom;9 cases of endometrial hyperplasia;3 cases of intrauterine blood clots;5 cases of normal endometrium.The sensitivity of 2D-TVS was 81.0%,the specificity was 68.0%,the accuracy was 76.1%.The sensitivity of 2D-SIS was 90.5%,the specificity is 88.0%,the accuracy was 89.6%.Analysis of those findings indicated that there was significant difference（P0.05） between the two methods.Conclusions 2D-SIS inspection with high accuracy,is a reliable diagnostic method of endometrial polyps.