经阴道超声在子宫内膜息肉诊断中的价值分析

Value analysis of transvaginal ultrasound in the diagnosis of endometrial polyps

目的分析子宫内膜息肉经阴道超声的诊断价值。方法80例疑似子宫内膜息肉患者,均经阴道超声、经腹部超声进行诊断。分析诊断结果,以术后病理结果作为金标准,比较经腹、经阴道超声的诊断效能。结果80例疑似子宫内膜息肉患者术后病理检出阳性33例,阴性47例;经腹部超声检出阳性44例,阴性36例;经阴道超声检出阳性36例,阴性44例。以术后病理结果作为金标准,经阴道超声诊断子宫内膜息肉的敏感度、特异度、准确度分别为96.97%(32/33)、91.49%(43/47)、93.75%(75/80),均高于经腹部超声的69.70%(23/33)、55.32%(26/47)、61.25%(49/80),差异具有统计学意义(P<0.05)。结论子宫内膜息肉诊断中采用经阴道超声检查的诊断效能明显优于经腹部超声检查,在提高病灶检出率的基础上有助于早期治疗、促进患者预后。

Objective To analyze the diagnostic value of transvaginal ultrasound in endometrial polyps.Methods 80 patients with suspected endometrial polyps were diagnosed by transvaginal ultrasound and transabdominal ultrasound.The diagnostic results were analyzed,and the diagnostic efficiency of transabdominal and transvaginal ultrasound was compared using postoperative pathological findings as the gold standard.Results In 80 patients with suspected endometrial polyps,postoperative pathology detected 33 positive cases and 47 negative cases;transabdominal ultrasound detected 44 positive cases and 36 negative cases;transvaginal ultrasound detected 36 positive cases and 44 negative cases.Using postoperative pathological findings as the gold standard,the sensitivity,specificity and accuracy of transvaginal ultrasound in diagnosing endometrial polyps were 96.97%(32/33),91.49%(43/47)and 93.75%(75/80),respectively,which were higher than those of transabdominal ultrasound[69.70%(23/33),55.32%(26/47)and 61.25%(49/80)],and the differences were statistically significant(P<0.05).Conclusion The diagnostic efficiency of transvaginal ultrasonography in the diagnosis of endometrial polyps is significantly higher than that of transabdominal ultrasound,which can help early treatment and promote patient prognosis on the basis of improving the detection rate of lesions.