子宫内膜息肉在阴道超声影像下的误诊分析  

Analysis of Misdiagnosis of Endometrial Polyps under Vaginal Ultrasonography

作　　者：吕燕芬 黄燕玲 徐飞[1] 他林昆 张静秋[1] 陆永萍 LV Yanfen;HUANG Yanling;XU Fei;TA Linkun;ZHANG Jingqiu;LU Yongping(Affiliated Hospital of Yunnan University,Dept.of Ultrasound,The 2nd People’s Hospital of Yunnan Province,Kunming Yunnan 650021,China)

机构地区：[1]云南大学附属医院/云南省第二人民医院超声科,云南昆明650021

出　　处：《昆明医科大学学报》2022年第4期89-92,共4页Journal of Kunming Medical University

基　　金：云南省卫生健康委员会医学后备人才培养计划基金资助项目(H-2018013)。

摘　　要：目的评估超声影像对子宫内膜息肉的误诊率,如何应用简单、经济、节约时间的超声影像方法提高内膜息肉的诊断符合率。方法2019年1月至2021年5月在云南省第二人民医院超声诊断为内膜息肉及病理诊断结果为内膜息肉的484例患者纳入研究分析。根据超声类型将患者分为二维超声组、彩色多普勒(CDFI)组、能量多普勒(CDE)组,在不同组别内进行病理结果对照分析,寻找超声影像对子宫内膜息肉的误诊因素。结果与二维超声相比,CDE可以降低误诊率[OR(95%CI):0.172(0.048~0.625),P<0.001],二维超声组、CDE组和CDFI组的误诊率分别为33.3%,7.9%和46%(P<0.001)。结论在二维超声的基础上,应用CDE可以降低内膜息肉的误诊率,为临床医生短时间内提供有价值的信息。Objective To evaluate the misdiagnosis rate of endometrial polyps by ultrasound imaging,and to explore simple,cost-effective,and time-saving ultrasound imaging methods to improve the diagnostic compliance rate of endometrial polyps.Methods A total of 484 patients with endometrial polyp ultrasound and pathological diagnosis in the Second People’s Hospital of Yunnan Province from January 2019 to May 2021 were included in the study.The patients were divided into two dimensional ultrasound group,color Doppler(CDFI)group and power Doppler(CDE)group.The pathological results were analyzed in different groups to find the misdiagnosis factors of endometrial polyps by ultrasound images.Results Compared with 2D ultrasound,CDE reduced the misdiagnosis rate[OR(95%CI):0.172(0.048~0.625)].The misdiagnosis rates of the two-dimensional ultrasound group,CDE group,and CDFI group were 33.3%,7.9%,and 46.0%,respectively(P<0.001).Conclusions Based on two-dimensional ultrasound,the application of CDE can reduce the misdiagnosis rate of endometrial polyps and provide clinicians with valuable information in a short time.

关 键 词：子宫内膜息肉 阴道超声 误诊分析 

分 类 号：R445.1[医药卫生—影像医学与核医学]