腹部超声检查对子宫内膜病变临床诊断的价值分析

The clinical diagnostic value analysis on abdominal ultrasound detection in endometrial lesions

目的探讨腹部超声检查对子宫内膜病变的诊断价值。方法选取2012年1月至2016年6月在我院妇科进行诊治的子宫内膜病变患者80例,其中病理判断为子宫内膜病变(恶性组)20例,病理诊断为子宫内膜良性病变(良性组)60例,分析两组患者超声诊断结果。结果恶性组常规超声特征为子宫增大、内膜形态不规则、内膜回声增强与宫腔积液等,与良性组对比差异明显(P<0.05)。彩色超声分析显示恶性组的PSV与EDV值高于良性组,而RI值低于良性组,组间差异明显(P<0.05)。结论腹部超声检查应用于子宫内膜病变的诊断中,能有效鉴别良恶性情况,可更加清楚地显示肿瘤内的血流状况,有很好的应用价值。

Objective To evaluate the diagnostic value of abdominal ultrasound examination in endometrial lesions. Methods Eighty cases of patients with endometrial lesions in our hospital from January 2012 to June 2016 were selected, twenty cases of patients were diagnosed as endometrial lesions （malignant group） and 60 cases were diagnosed as endometrial benign lesions （benign group） by pathological diagnosis. The results of the ultrasound diagnosis were analyzed in both of the groups. Results The routine ultrasound characteristics of malignant group were featured as hysterauxesis, endometrial irregular, dense echo, uterine fluid, etc. The difference was statistically significant compared with benign group （P〈0.05）. Color ultrasound analysis showed PSV and EDV in malignant group were higher than those of benign group, and RI in malignant group was lower than that of the benign group （P〈0.05）. Conclusion Abdominal ultrasound can effectively indentify discriminate benign and malignant conditions and it can show the blood flow within the tumor clearly, which has practical value.