彩色多谱勒超声和宫腔镜应用于子宫内膜占位性病变的诊断价值分析  

Diagnostic Value of Color Doppler Ultrasound and Hysteroscopic to Apply Endometrial Lesions

作　　者：陶珍 曲远文 

机构地区：[1]深圳市南山区蛇口人民医院超声诊断科,广东深圳518000

出　　处：《中国医药指南》2014年第18期11-12,共2页Guide of China Medicine

摘　　要：目的探讨彩色多谱勒超声和宫腔镜应用于子宫内膜占位性病变的诊断价值。方法选取我院在2011年7月至2013年7月收治的子宫内膜占位性病变患者120例,分别采用彩色多普勒超声和宫腔镜检查,并与病理检查结果对比,分析其诊断准确率。结果 120例子宫内膜占位性病变患者中,经病理结果验证可知,子宫内膜息肉42例,占总病变的35.00%;子宫内膜增生25例,占总病变的20.83%;子宫黏膜下肌瘤16例,占总病变的13.33%;子宫胚胎残留15例,占总病变的12.50%;子宫内膜癌10例,占总病变的8.33%;正常内膜12例,占10.00%。彩色多普勒检查符合76例,诊断符合率为63.3%;而宫腔镜检查诊断符合98例,诊断符合率81.67%,两种诊断方法对比可知,诊断符合率间有显著差异(χ2=10.1139,P<0.01),具有统计学意义。结论在子宫内膜占位性病变的临床诊断中,彩色多普勒超声检查和宫腔镜检查各有优缺点,二者联合使用能有效的提高子宫内膜占位性病变的诊断准确率和临床疗效,提高手术的治愈率,具有较高的临床推广价值。Objective To investigate the value of color doppler sonography and hysteroscopy in the diagnosis of endometrial space-occupying lesions. Methods 120 patients with endometrial space-occupying lesions were selected from July 2011 to July 2013 in our hospital. Color doppler ultrasonography and hysteroscopy were used on the patients respectively. The diagnostic accuracy of the two approaches was compared. Result In the 120 patients with endometrial space-occupying lesions, 76 patients were diagnosed by color doppler ultrasonography and the diagnostic coincidence rate was 63.3%. 98 patients were diagnosed by hysteroscopy and the diagnostic coincidence rate was 81.76%. The difference between the two groups was significant（χ2=10.1139, P0.01）. The difference determined was statistically significant. Conclusion In the diagnosis of endometrial space-occupying lesions, color doppler ultrasonography and hysteroscopy have advantages and disadvantages. Combined use the both can effectively improve the endometrial lesions, the diagnostic accuracy and clinical curative effect, improve the cure rate of operation. It has high value in clinical application.

关 键 词：彩色多普勒超声 宫腔镜 子宫内膜 占位性病变 

分 类 号：R71[医药卫生—妇产科学] R445.1[医药卫生—临床医学]