经阴道彩色多普勒超声在子宫内膜息肉与子宫内膜癌鉴别中的价值分析

Value analysis of transvaginal color Doppler ultrasound in the identification of endometrial polyps and endometrial cancer

目的探讨经阴道彩超在子宫内膜息肉、子宫内膜癌鉴别中的价值。方法选取2019年3月至2021年3月本院收治的120例子宫内膜息肉、子宫内膜癌患者作为研究对象,患者均接受经阴道彩色多普勒超声检查,比较子宫内膜息肉、子宫内膜癌的血流信号、影像学表现。结果子宫内膜癌患者血流丰富率高于子宫内膜息肉患者,差异有统计学意义(P<0.05)。超声声像图显示,子宫内膜癌患者子宫内膜厚度高于子宫内膜息肉患者,差异有统计学意义(P<0.05)。子宫内膜癌回声分布均匀占比与肌层界限清晰占比低于子宫内膜息肉,差异有统计学意义(P<0.05)。结论采用经阴道彩色多普勒超声对子宫内膜息肉、子宫内膜癌患者进行检查,为临床鉴别及诊治提供依据,具有较高应用价值。

Objective To explore the value of transvaginal color Doppler ultrasound in the identification of endometrial polyps and endometrial cancer.Methods 120 patients with endometrial polyps and endometrial cancer admitted to our hospitalfrom March 2019 to March 2021 were selected as the study subjects,all the patients underwent transvaginal color ultrasound examination,the blood flow signal and imaging findings of endometrial polyp and endometrial cancer were compared.Results The blood flow richness rate of patients with endometrial carcinoma was higher than that of patients with endometrial polyps,and the difference was statistically significant(P<0.05).The sonography showed that the endometrial thickness was higher than endometrial polyps in patients with statistically significant endometrial cancer,the difference was statistically significant(P<0.05).The number of cases with uniform echo distribution and clear myometrial boundary in endometrial cancer was lower than that in endometrial polyps,the difference was statistically significant(P<0.05).Conclusion The examination of endometrial polyps and endometrial cancerpatients by transvaginal color Doppler ultrasound can provide a basis for clinical identification,diagnosis and treatment,and has high application value.