不同超声检查在子宫内膜病变中诊断的价值

Clinical Value of Different Ultrasonography in the Diagnosis of Endometrial Diseases

目的探讨不同超声检查对子宫内膜病变的临床诊断价值。方法选取2018年1至12月东阿县妇幼保健院收治的120例子宫内膜病变患者,随机分为观察组和对照组,每组60例。观察组接受经阴道超声检查,对照组接受经腹部超声检查。以病理诊断为金标准,比较两组患者子宫内膜病变的诊断准确率和不同类型的诊断情况。结果观察组共检出58例子宫内膜病变,准确率96.67%;对照组共检出42例子宫内膜病变,准确率70.0%;观察组准确率明显高于对照组,差异有统计学意义(P<0.05)。观察组在诊断子宫内膜增生、子宫内膜炎、子宫内膜息肉、子宫黏膜下肌瘤诊断率准确率均明显高于对照组,差异有统计学意义(P<0.05)。结论在检查子宫内膜病变中经阴道超声检查的检查准确性更高。

Objective To investigate the clinical value of different ultrasonographyin the diagnosis of endometrial lesions.Methods A total of 120 patients with endometrial lesions admitted to the Dong'e County Maternal and Child Health Hospital from January to December 2018 were divided into the observation group and control group,60 cases each group.The observation group underwent transvaginal ultrasonography and the control group underwent transabdominal ultrasonography.Pathological diagnosis was used as the gold standard.The diagnostic accuracy and diagnosis of different types of endometrial lesions in the two groups were compared.Results A total of 58 patients with endometrial lesions were detected in the observation group,and the accuracy rate was 96.67%.In the control group,42 cases of endometrial lesions were detected,and the accuracy rate was 70.0%.The diagnostic accuracy of the observation group was higher than the control group(P<0.05).The diagnostic rates of the observation group in the diagnosis of endometrial hyperplasia,endometritis,endometrial polyps,and submucous myoma were higher than those of the control group,and the differences were all statistically significant(P<0.05).Conclusion The transvaginal ultrasonography in the diagnosis of endometrial lesions was more accurate and feasible.