子宫内膜息肉的阴道超声图像表现及漏诊原因分析  

Image Feature and Analysis of Missdiagnosis of Endometrial Polyp by Transvaginal Ultrasound

作　　者：李江萍[1] 荣雪余[1] 朱强[1] 

机构地区：[1]首都医科大学附属北京同仁医院超声科,北京100730

出　　处：《中国循证医学杂志》2010年第5期629-630,共2页Chinese Journal of Evidence-based Medicine

摘　　要：目的探讨子宫内膜息肉的经阴道超声声像图特征,分析经阴道超声检查的漏诊原因。方法对57例经病理诊断为子宫内膜息肉患者的阴道超声检查资料进行回顾性分析。结果子宫内膜息肉的经阴道超声图像特征包括:多≤2cm(78.4%),呈偏强回声或中等回声(75.4%),形态呈舌状或指状(76.5%),边界规整,与内膜分界清晰(97.9%),息肉内多可见一条较粗的血管从内膜基底层连续到病灶内(50%)。结论子宫内膜息肉的超声图像有其特征性。在月经分泌期进行检查、合并子宫内膜增生症、以及合并多发性肌瘤时可能导致漏诊。Objective To investigate the imaging characteristics of endometrial polyps by using transvaginal ultrasound and analyze the causes of misdiagnosis. Methods Fifty-seven patients pathologically diagnosed of endometrial polyps were retrospectively analyzed. Results The endometrial polyps had its own characteristics of ultrasound images, especially the lesion, size, shape, echo, border, color Doppler flow imaging （CDFI） and so on. Conclusion Endometrial polyps has some special features on ultrasound image. Inspection in the secretary period, along with endometrial hyperplasia of the merger as well as multiple myoma the merger may result in misdiagnosis.

关 键 词：子宫内膜息肉 经阴道超声 漏诊 

分 类 号：R737.33[医药卫生—肿瘤]