经阴道三维超声诊断子宫内膜病变的临床应用  

Value of three-dimensional transvaginal ultrasound in diagnosis of uterine cavity lesions

作　　者：葛玲[1] 傅庆诏[1] 刘韶平[1] 车艳辞[1] 谷涛[1] 陶国伟[1] 展新凤[1] 

机构地区：[1]山东大学齐鲁医院超声科,济南250012

出　　处：《中华超声影像学杂志》2004年第9期674-676,共3页Chinese Journal of Ultrasonography

摘　　要：目的　探讨经阴道三维超声诊断子宫内膜病变的价值。方法　对经阴道二维超声检查疑似宫腔内病变的 46例已婚妇女进行经阴道三维超声检查 ,其结果与宫腔镜及病理相对照。结果　 46例患者中子宫内膜增生 16例 ,子宫内膜息肉 12例 ,黏膜下子宫肌瘤 9例 ,子宫内膜癌 3例 ,余 6例为正常子宫内膜分泌期改变。二维经阴道超声、三维经阴道超声诊断子宫内膜增生的特异性、敏感性、准确性分别为 66.7%、93 .7%、76.1%和 90 .0 %、10 0 %、93 .5 % ;诊断内膜息肉的特异性、敏感性、准确性分别为 88.2 %、5 8.3 %、80 .4%和 10 0 %、83 .3 %、95 .7%。结论　三维经阴道超声提高了子宫内膜病变的诊断水平 。Objective To evaluate the diagnostic value of three dimensional transvaginal sonograpy( 3D TVS) for uterine cavity lesions.Methods Two dimensional transvaginal sonography(2D TVS) and 3D TVS were performed on 46 patients with irregular vaginal bleeding.The diagnosis were compared with the results of pathology and hysteroscopy.Results Of 46 patients,16 cases were diagnosed as endometrial hyperplasia,12 cases as endometrial polyp,9 cases as submucous myoma,3 cases as endometrial cancer, and the remaining 6 cases as normal secretive phase.To endometrial hyperplasia,the specificity,sensitivity,accuracy of 2D TVS and 3D TVS was 66.7% , 93.7% , 76.1% and 90.0% ,100%, 93.5% respectively.To endometrial polyp,the specificity,sensitivity,accuracy of 2D TVS and 3D TVS was 88.2% , 58.3% , 80.4% and 100%, 83.3% , 95.7% respectively.Conclusions 3D TVS improves the diagnosis of uterine cavity lesions,3D TVS combined with 2D TVS is the first choice for uterine cavity lesions.

关 键 词：子宫内膜病变 临床应用 经阴道三维超声诊断 子宫内膜增生 经阴道超声 特异性 分泌期 

分 类 号：R445.1[医药卫生—影像医学与核医学]