经阴道超声诊断子宫内膜息肉60例临床分析

Clinical analysis of 60 cases of endometrial polyps diagnosed by transvaginal ultrasonography

目的观察经阴道超声(TVS)对子宫内膜息肉(EMP)的诊断价值。方法回顾性分析经阴道超声诊断为子宫内膜息肉的60例患者的临床资料。结果 54例TVS诊断为子宫内膜息肉,诊断符合率为90%。误诊为黏膜下子宫肌瘤、内膜增厚等共6例,其中检查时子宫内膜为增生期的1例,子宫内膜为分泌期的5例。总误诊率为10%。结论子宫内膜息肉在不同月经周期时声像有明显差异,增殖期TVUS检查子宫内膜息肉的检出率和诊断符合率更高。

Objective To observe the diagnostic value of transvaginal ultrasonography（TVS） for endometrial polyps（EMP）.Methods 60 cases with EMP diagnosed by TVS were analyzed retrospectively.Results 54 cases were diagnosed as EMP with a diagnosis accordance rate of 90%.6 cases were misdiagnosed as submucosal uterine fibroids and endometrial thickening etc,among 6 cases,1 case was in the endometrium proliferative stage and 5 cases were in the endometrium secretory stage with a total misdiagnosis rate of 10%.Conclusion EMP have significantly different ultrasonogram in different menstruating cycles.The detection rate and diagnosis accordance rate of TVUS in the proliferative stage is higher for EMP.