经阴道彩色多普勒超声在子宫内膜疾病诊断中的应用

Application of transvaginal color Doppler ultrasound in diagnosis on endometriam lesions

目的:应用经阴道彩色多普勒超声技术诊断及鉴别诊断子宫内膜疾病。方法:观察55例我院门诊及入院患者,临床诊断为子宫内膜增生、子宫内膜息肉、子宫黏膜下肌瘤及子宫内膜癌。通过经阴道彩色多普勒超声观察这些患者的子宫内膜厚度、形态及血流特点,并经刮宫或手术病理证实。结果:经阴道彩色多普勒超声有效地诊断了子宫内膜增生、内膜息肉、子宫黏膜下肌瘤和子宫内膜癌(RI<0.05),有利于各种良性病变之间及良恶性病变之间鉴别。结论:经阴道彩色多普勒超声在术前诊断子宫内膜疾病方面具有较重要的实用价值。

Objective To diag nose and differentiate endometrial lesions by transvaginal color Doppler ul tra sound.Method Fifty five women include out patients and inpatients who are diagnosed endometrial hyperpla sia,polyp,submu cons my oma and carcinoma.The width,mor phology and blood flow of en dometrium were obeserved by transvagi nal color Doppler ultra sound and finally proved by di latation and curetlage of the uterus or by operation.Re sults Ac cord ing to different imag ing characteris tics,en-dometrial hyperpla sia,polyp,submucons myoma and carcinoma were diag nosed efficiently by transvagi nal color Doppler ul tra sound.The re sis tance index(RI )of en dome trial carcinoma was below0.05(RI <0.05).And it is useful in dif ferentiating all kinds of benign endome trial lesions and dis tiguish ing benign or ma lig nant en dome trial le sions.Con clu sion Transvagi nal color Doppler ul -tra sound has impor tant prac tical value at diag nosing en dome trial le sions before operation.