腹部超声检查在子宫内膜病变诊断中的价值  

The value of abdominal ultrasonography in the diagnosis of endometrial lesions

作　　者：黄文平[1] Wang Wenping(Department of Ultrasound,Fushun Maternal and Child Health Hospital,Zigong 643200,Sichuan,China)

机构地区：[1]四川省自贡市富顺县妇幼保健院超声科,四川自贡643200

出　　处：《实用妇科内分泌电子杂志》2021年第24期74-76,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨腹部超声检查在子宫内膜病变诊断中的价值。方法 选取70例子宫内膜病变患者,根据手术病理学检查结果将患者分为良性组(49例)与恶性组(21例)。两组患者均行腹部超声检查,比较两组患者超声征象、超声指标,并分析患者超声检查结果。结果 恶性组患者子宫增大率、宫腔积液率、内膜回声增强率、内膜形态不规则率均高于良性组,差异有统计学意义(P<0.05)。恶性组阻力指数(0.46±0.10)低于良性组(0.59±0.12),收缩期峰值流速(15.06±3.18)cm/s、舒张末期峰值流速(7.34±2.19)cm/s高于良性组(9.25±2.43)、(3.78±1.54)cm/s,差异有统计学意义(P<0.05)。结论 腹部超声检查子宫内膜良、恶性病变结果有一定差异,临床诊断时应注意观察子宫增大、子宫积液、内膜回声及形态等,以阻力指数和收缩期峰值流速、舒张末期峰值流速对病变的良恶性进行判断。Objective To investigate the value of abdominal ultrasonography in the diagnosis of endometrial lesions.Methods 70 patients with endometrial lesions were selected and divided into benign group(49 cases)and malignant group(21 cases)according to the results of surgical pathology.Abdominal ultrasound examination was performed in both groups.Ultrasound signs and ultrasound indicators were compared between the two groups,and the results of ultrasound examination were analyzed.Results The uterine enlargement rate,uterine effusion rate,endometrial echo enhancement rate and endometrial irregular shape rate in the malignant group were higher than those in the benign group,and the differences were statistically significant(P<0.05).The resistance index of the malignant group(0.46±0.10)was lower than that of the benign group(0.59±0.12),the peak systolic velocity(15.06±3.18)cm/s and the peak end-diastolic velocity(7.34±2.19)cm/s were higher than those of the benign group(9.25±2.43)and(3.78±1.54)cm/s,respectively.The difference was statistically significant(P<0.05).Conclusion The results of abdominal ultrasound examination of benign and malignant endometrial lesions are different.Attention should be paid to the uterine enlargement,uterine effusion,endometrial echo and morphology in clinical diagnosis,and the resistance index,peak systolic velocity and peak end-diastolic velocity were used to judge the benign and malignant lesions.

关 键 词：子宫内膜病变 腹部超声检查 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]