经阴道彩色多普勒超声联合三维容积成像技术诊断子宫内膜病变的临床价值

Clinical Value of Transvaginal Color Doppler Ultrasound Combined with Three-dimensional Volumetric Imaging for Diagnosis of Endometrial Lesions

目的:探讨经阴道彩色多普勒超声联合三维容积成像技术在子宫内膜病变诊断中的价值。方法:选取2019年1月—2023年9月青海红十字医院收治的疑似子宫内膜病变患者132例作为研究对象,均实施经阴道彩色多普勒超声、三维容积成像技术、联合检查,以病理诊断结果为“金标准”,比较检查结果及诊断效能。结果:病理诊断结果显示,132例疑似子宫内膜病变患者确诊114例。经阴道彩色多普勒超声联合三维容积成像技术灵敏度、准确率高于经阴道彩色多普勒超声、三维容积成像技术,差异有统计学意义(P<0.05);三种检查方法的诊断特异度比较,差异无统计学意义(P>0.05)。结论:经阴道彩色多普勒超声技术联合三维容积成像技术在子宫内膜病变诊断中的应用价值较高,可为临床诊治提供参考。

Objective:To investigate the value of transvaginal color Doppler ultrasound combined with three-dimensional volumetric imaging in the diagnosis of endometrial lesions.Methods:One hundred and thirty-two patients with suspected endometrial lesions admitted to Qinghai Red Cross Hospital from January 2019 to September 2023 were selected as the study subjects,and all of them were implemented transvaginal color Doppler ultrasound,three-dimensional volumetric imaging technology,and combined examination.Pathologic diagnosis was used as the"gold standard"to compare the examination results and diagnostic efficacy.Results:Pathological diagnosis showed that one hundred and thirty-two patients with suspected endometriosis were diagnosed in one hundred and fourteen cases.The sensitivity and accuracy of transvaginal color Doppler ultrasound combined with three-dimensional volumetric imaging were higher than that of transvaginal color Doppler ultrasound and three-dimensional volumetric imaging,and the difference was statistically significant(P<0.05);comparison of the diagnostic specificity of the three examination methods showed no statistically significant difference(P>0.05).Conclusion:The application of transvaginal color Doppler ultrasound technology combined with three-dimensional volumetric imaging technology in the diagnosis of endometrial lesions is of high value,and can provide reference for clinical diagnosis and treatment.