摘要
目的:探讨盐水注入辅助阴道超声诊断粘膜下子宫肌瘤和子宫内膜息肉的临床意义。方法:32例经期延长或不规则阴道出血的患者,经阴道超声并注入盐水扫描子宫,测量病变,再经手术或宫腔镜手术,病理确诊。结果:采用该方法子宫粘膜下肌瘤的诊断率为91%,与普通超声相比有显著性差异(P<0.01),假阴性率9%;子宫内膜息肉诊断率100%,与普通超声相比有极显著差异(P<0.01),假阳性率17%;结论:本方法对宫内占位病变具有诊断率高、假阴性和假阳性率低等优点,值得重视和推广。
Objective: To investigate the clinical efficiency of nature saline infusion in assisting the B ultrasound diagnosis of sub-mucous myoma and endometrium polyps. Method: Regular B ultrasonography and NS infusion assisted with ultrasonography were given to 32 women whose menstrual period was prolonged or whose vagina bleeded irregularly, whose menstrual period was prolonged or whose vagina bleeded irregularly. The diagnosis and measurement of space occupying lesions were compared with the hysteroscopy or laparotomy findings following the B ultasonography.Results:91% of submucous myoma and 100% endometrium polyps were correctly diagnosed by NS infusion assisted with ultrasonogaphy,with false negative values of 9% and 17% respectively. The difference with regular ultrasound was significant (P < 0.01). Conclusion: NS infusion assisted with ultrasonography may be a reliable and promising diagnostic method for submucous myoma and endometrium polyps because of high diagnostic rate, low false negative and false positive rates.
出处
《医学理论与实践》
2003年第2期148-149,共2页
The Journal of Medical Theory and Practice