四联超声检查技术对子宫内膜早期病变诊断价值

Diagnostic Value of Quadruple Ultrasonography in Early Endometrial Lesions

目的探讨四联超声检查技术对子宫内膜早期病变诊断的价值。方法选择因阴道不规则出血就诊并行超声检查的252例患者为研究对象,入选患者均行四联超声(腹部二、三维,阴道二、三维,高精细血流成像,时间-空间相关成像)检查;以组织病理学检查结果作为“金标准”,将检查结果与“金标准”进行对比分析。结果组织病理学检查结果判定为恶性病变140例,均为子宫内膜癌;良性病变112例,其中子宫内膜增生76例,子宫内膜息肉36例。四联超声诊断恶性病变124例,误诊8例,漏诊16例,诊断灵敏度为88.6%,特异性为92.9%,Youden指数为0.815。结论四联超声检查对子宫内膜早期病变诊断具有较高准确性,可作为子宫内膜病变鉴别诊断的可靠手段。

Objective To explore the diagnostic value of quadruple ultrasonography in early endometrial lesions.Methods A total of 252 patients with ultrasound examination due to irregular vaginal bleeding were selected as the research objects.All the patients underwent quadruple ultrasound(abdominal two-and three-dimensional,vagina two-and three-dimensional,high-resolution blood flow imaging,and time-space correlation imaging)examination;the results were compared with the“gold standard”,the results of histopathological examination.Results Altogether 140 cases of malignant lesions were determined by histopathological examination,all of which were endometrial cancer;112 cases of benign lesions,including 76 cases of endometrial hyperplasia and 36 cases of endometrial polyps;124 cases of malignant lesions were determined by quadruple ultrasonography,8 cases were misdiagnosed and 16 cases were missed.The diagnostic sensitivity was 88.6%,the specificity 92.9%,and the Youden’s index 0.80.Conclusion Quadruple ultrasonography has a high accuracy for the early diagnosis of endometrial lesions,and can be used as a reliable method for the differential diagnosis of endometrial lesions.