经阴道彩色多普勒超声三维重建技术对子宫内膜息肉的诊断分析

Diagnostic Analysis of Endometrial Polyps Using Transvaginal Color Doppler Ultrasound Three-Dimensional Reconstruction Technology

目的:研究经阴道彩色多普勒超声三维重建技术诊断子宫内膜息肉的价值。方法:选择2020年6月~2022年12月到本院进行诊治的152例疑似子宫内膜息肉患者的临床资料进行回顾性分析,入院后所有患者均开展阴道彩色多普勒超声三维重建,且具备获得病理组织的条件,并获取病理组织进行检验,将最终的病理诊断结果作为金标准,分析经阴道彩色多普勒超声三维重建技术对子宫内膜息肉诊断的价值。结果:①经过病理诊断最终检出92例子宫内膜息肉,而经阴道彩色多普勒超声三维重建技术检出90例,经阴道彩色多普勒超声三维重建技术诊断和病理诊断差异不显著(P>0.05);②经阴道彩色多普勒超声三维重建技术诊断子宫内膜息肉的阳性预测值为98.89%、阴性预测值为95.16%、敏感度为96.74%、特异度为98.33%、准确度为97.37%、约登指数为95.07%、误诊率为1.67%、漏诊率为3.26%。结论:将经阴道彩色多普勒超声三维重建技术应用在子宫内膜息肉的诊断当中可以提升检出的效率,其诊断可以为临床的诊治工作提供科学的参考。

Objective:To investigate the value of transvaginal color Doppler ultrasound three-dimensional reconstruction technology in the diagnosis of endometrial polyps.Methods:The clinical data of 152 patients suspected of having endometrial polyps who were diagnosed and treated in our hospital from June 2020 to December 2022 were retrospectively analyzed.All patients underwent transvaginal color Doppler ultrasound three-dimensional reconstruction after admission,and had the condition to obtain pathological tissue for examination.The final pathological diagnosis results were used as the gold standard to analyze the value of transvaginal color Doppler ultrasound three-dimensional reconstruction technology in the diagnosis of endometrial polyps.Results:①After pathological diagnosis,92 cases of endometrial polyps were finally detected,while 90 cases were detected by transvaginal color Doppler ultrasound three-dimensional reconstruction technology.There was no significant difference between transvaginal color Doppler ultrasound three-dimensional reconstruction technology diagnosis and pathological diagnosis(P>0.05);②The positive predictive value,negative predictive value,sensitivity,specificity,accuracy,Youden index,false positive rate,and false negative rate of transvaginal color Doppler ultrasound three-dimensional reconstruction technology in the diagnosis of endometrial polyps were 98.89%,95.16%,96.74%,98.33%,97.37%,95.07%,1.67%,and 3.26%,respectively.Conclusion:The application of transvaginal color Doppler ultrasound three-dimensional reconstruction technology in the diagnosis of endometrial polyps can improve the efficiency of diagnosis,and its diagnosis can provide scientific reference for clinical treatment.