经阴道二维及三维超声联合检查对子宫内膜息肉的诊断价值

Diagnostic Value of Transvaginal 2D Ultrasound Combined with 3D Ultrasound for Endometrial Polyps

目的分析经阴道二维超声(2D-TVS)及三维超声(3D-TVS)联合检查对子宫内膜息肉(EP)的诊断价值。方法选取2022年1月至2023年12月我院收治的103例疑似EP患者,均接受2D-TVS与3D-TVS检查。以宫腔镜病理活检结果作为“金标准”,分析2D-TVS及2D-TVS联合3D-TVS检查对EP的诊断效能。结果103例疑似EP患者中,经宫腔镜病理活检证实为EP 78例,非EP 25例;2D-TVS联合3D-TVS检查诊断EP的敏感度、特异度及准确率均高于2D-TVS检查(P<0.05);2D-TVS联合3D-TVS检查诊断EP结果与病理结果的一致性(Kappa=0.822)优于2D-TVS单独检查(Kappa=0.296)。结论2D-TVS联合3D-TVS检查诊断EP的敏感度、特异度及准确率均较高,且与病理结果一致性较好,可为临床诊治EP提供有效影像学信息。

Objective To analyze the diagnostic value of transvaginal 2D ultrasound(2D-TVS)combined with 2D ultrasound(3D-TVS)for endometrial polyps(EP).Methods 103 patients with suspected EP admitted to our hospital from January 2022 to December 2023 were selected and given 2D-TVS and 3D-TVS examination.Taking hysteroscopic pathological biopsy results as the gold standard,the diagnostic efficacy of 2D-TVS and 2D-TVS combined with 3D-TVS for EP was analyzed.Results Among 103 patients with suspected EP,78 cases of EP and 25 cases of non-EP were confirmed by hysteroscopic pathological biopsy.The sensitivity,specificity and accuracy of 2D-TVS combined with 3D-TVS in the diagnosis of EP were higher than those of 2D-TVS(P<0.05).The consistency of 2D-TVS combined with 3D-TVS in the diagnosis of EP and pathological results(Kappa=0.822)was better than that of single 2D-TVS(Kappa=0.296).Conclusions 2D-TVS combined with 3D-TVS in the diagnosis of EP has higher ensitivity,specificity and accuracy,and better consistency with pathological results,which can provide effective imaging information for clinical diagnosis and treatment of EP.