彩色多普勒超声在诊断子宫内膜占位性病变中的价值

The value of color doppler ultrasound in the diagnosis of endometrial space-occupying lesions

目的探讨经阴道彩色多普勒超声在子宫内膜占位性病变中的诊断价值。方法选取本院2012年1月～2013年4月收治的76例子宫内膜占位性病变患者,分别采用经阴道彩色多普勒超声及宫腔镜进行检查,比较两种诊断方法的诊断准确率。结果 76例子宫内膜占位性病变患者中,经病理诊断确诊为子宫内膜息肉38例,子宫内膜增生15例,子宫黏膜下肌瘤9例,子宫胚胎残留7例,子宫内膜癌3例,正常内膜4例。经阴道彩色多普勒超声诊断符合47例,诊断符合率为61.84%;宫腔镜检查符合64例,符合率为84.21%;两种检查方法比较差异有统计学意义(P<0.05)。结论彩色多普勒超声诊断子宫内膜占位性病变准确率高,但无治疗效果,联合宫腔镜可有效提高子宫内膜占位性病变的诊断率。

Objective To discuss the diagnostic value of transvaginal color doppler ultrasound in the diagnosis of en- dometrial space-occupying lesions. Methods 76 patients with endometrial space-occupying lesions received by our hospital from January 2012 to April 2013 were chosen.Transvaginal color doppler ultrasound and hysteroscope were used respectively on the patients and the diagnostic accuracy of the two approaches was compared. Results Pathologi- cal diagnosis proved that among the 76 patients,38 had endometrial polyp,15 endometrial hyperplasia,9 submucosal myoma of uterus,7 residual uterine embryo,3 endometrial cancer and 4 normal endometrium.Transvaginal color doppler ultrasound successfully diagnosed 47 cases,with the diagnostic accordance rate of 61.84%,while hysteroscope diag- nosed 64 cases,with the diagnostic accordance rate of 84.21%.There was a statistically significant difference between the two methods（P〈0.05）. Conclusion Color doppler ultrasound is highly accurate in diagnosing endometrial space-oc- cupying lesions,but has no treatment effect.Combined with hysteroscopy,it can effectively improve the diagnostic rate of endometrial space-occupying lesions.