经阴道彩色多普勒超声检查绝经后出血的准确率探讨

Study of Accuracy of Transvaginal Color Doppler Ultrasound in Postmenopausal Bleeding

目的探讨绝经后出血经阴道彩色多普勒超声检查的准确率。方法回顾性选取2018年11月—2019年11月我院绝经后出血患者106例,对所有患者进行彩色多普勒超声检查,首先对患者进行经腹部超声检查,然后对患者进行经阴道超声检查,最后对所有患者进行病理检查,然后统计分析经腹部超声检查和经阴道超声检查的诊断准确率、不同病理类型病变经阴道超声检查结果。结果经阴道超声检查对子宫内膜增生、内膜息肉、内膜肌瘤、子宫内膜癌的诊断准确率均显著高于经腹部超声检查(P<0.05),但经腹部超声检查和经阴道超声检查对子宫内膜炎、萎缩性内膜的诊断准确率之间的差异不显著(P>0.05)。子宫内膜炎、子宫内膜增生的阻力指数(resistance index,RI)均显著高于内膜息肉、内膜肌瘤、子宫内膜癌(P<0.05),内膜息肉、内膜肌瘤的RI均显著低于子宫内膜癌(P<0.05),但子宫内膜炎和子宫内膜增生、内膜息肉和内膜肌瘤的RI之间的差异均不显著(P>0.05)。结论绝经后出血经阴道彩色多普勒超声检查的准确率高。

Objective To investigate the accuracy of transvaginal color Doppler ultrasound in postmenopausal bleeding.Methods 106 cases of patients with postmenopausal bleeding in our hospital from November 2018 to November 2019 were selected retrospectively.All patients were examined by color Doppler ultrasound.Firstly,the patients were examined by transabdominal ultrasound,then the patients were examined by transvaginal ultrasound,and finally all the patients were examined by pathology.Then the accuracy of transabdominal ultrasound and transvaginal ultrasound were statistically analyzed,the results of transvaginal ultrasonography were compared.Results The diagnostic accuracy of transvaginal ultrasound for endometrial hyperplasia,atrophic endometrium,endometrial polyp and endometrial cancer were significantly higher than transabdominal ultrasound(P<0.05),but the difference of diagnostic accuracy of endometritis,endometrial myoma between the two methods was not significant(P>0.05).The RI of endometritis and endometrial hyperplasia were significantly higher than endometrial polyp,endometrial myoma and endometrial carcinoma(P<0.05),the RI of endometrial polyp and endometrial myoma were significantly lower than endometrial carcinoma(P<0.05),but the RI of endometrial carcinoma and endometrial hyperplasia,endometrial polyp and endometrial myoma were not significantly different(P>0.05).Conclusion The accuracy of transvaginal color Doppler ultrasound in postmenopausal bleeding is high.