超声造影联合阴道彩色多普勒超声对绝经后阴道出血子宫内膜病变的诊断价值  

Diagnostic Value of Contrast-Enhanced Ultrasound Combined with Vaginal Color Doppler Ultrasound in Endometrial Lesions of Postmenopausal Vaginal Bleeding

作　　者：纪甜甜[1] JI Tian-tian(Department of Abdominal Ultrasound,Affi liated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi Xinjiang 830000,China)

机构地区：[1]新疆医科大学附属中医医院腹部超声科,新疆乌鲁木齐830000

出　　处：《中华养生保健》2023年第19期57-60,共4页CHINESE HEALTH CARE

摘　　要：目的探讨与分析超声造影联合阴道彩色多普勒超声对绝经后阴道出血子宫内膜病变的诊断价值。方法选择2019年12月-2022年12月在新疆医科大学附属中医医院诊治的89例绝经后阴道出血子宫内膜病变患者,均给予超声造影联合阴道彩色多普勒超声检查,记录超声特征。以病理检查为金标准,并判断超声造影联合阴道彩色多普勒超声检查的诊断价值。结果在89例患者中,病理诊断为良性病变69例(子宫内膜增生23例、子宫肌瘤17例、子宫内膜息肉29例,良性组),恶性病变20例(子宫内膜癌,恶性组)。良性组的血流阻力指数、收缩期峰值速度、搏动指数与恶性组比较有显著提高,差异有统计学意义(P<0.05)。良性组的造影剂平均通过时间显著少于恶性组,差异有统计学意义(P<0.05);两组患者的显影时间、达峰时间、峰值强度等比较,差异无统计学意义(P>0.05)。在89例患者中,彩色多普勒超声的诊断符合率为87.64%,超声造影的诊断符合率为86.52%,超声造影联合阴道彩色多普勒超声的诊断符合率为98.88%,超声造影联合阴道彩色多普勒超声的诊断符合率显著高于单一方法,差异有统计学意义(P<0.05)。结论超声造影联合阴道彩色多普勒超声对绝经后阴道出血子宫内膜病变具有很高的诊断价值,值得临床使用。Objective To explore and analysis the diagnostic values of contrast-enhanced ultrasound combined with vaginal color Doppler ultrasound in endometrial lesions of postmenopausal vaginal bleeding.Methods From December 2019 to December 2022,89 cases of patients with postmenopausal vaginal bleeding and endometrial lesions who were diagnosed and treated in our hospital were selected as the study subjects.All patients were examined with contrast-enhanced ultrasound combined with vaginal color Doppler ultrasound,and the ultrasonic characteristics were recorded.Pathological examination was taken as the gold standard,and the diagnostic value was judged.Results In the 89 patients,there were 69 cases were diagnosed as benign lesions(23 cases of endometrial hyperplasia,17 cases of hysteromyoma,29 cases of endometrial polyps,benign group)and 20 cases as malignant lesions(endometrial cancer,malignant group).The blood fl ow resistance index,peak systolic velocity and pulsation index in benign group were signifi cantly higher than those in malignant group(P<0.05).The average transit time of contrast agent in the benign group was signifi cantly shorter than that in the malignant group(P<0.05),and there was no signifi cant diff erence compared between the two groups in terms of development time,peak time and peak intensity(P>0.05).In the 89 patients,the diagnostic coincidence rate of color Doppler ultrasound was 87.64%,the diagnostic coincidence rate of contrast-enhanced ultrasound was 86.52%,the diagnostic coincidence rate of contrast-enhanced ultrasound combined with vaginal color Doppler ultrasound was 98.88%,and the diagnostic coincidence rate of contrast-enhanced ultrasound combined with vaginal color Doppler ultrasound were signifi cantly higher than that of single method(P<0.05).Conclusion The combination of contrast-enhanced ultrasound and vaginal color Doppler ultrasound has high diagnostic value for endometrial lesions of postmenopausal vaginal bleeding,which is worthy of clinical application.

关 键 词：超声造影 阴道彩色多普勒超声 绝经后阴道出血 子宫内膜病变 诊断符合率 收缩期峰值速度 造影剂平均通过时间 

分 类 号：R445.1[医药卫生—影像医学与核医学]