经阴道二维超声对子宫内膜息肉及子宫内膜息肉病变诊断的应用价值  

Application Value of Transvaginal Ultrasonography in Diagnosis of Endometrial Polyps and Lesion Transformation

作　　者：赵丽丽[1] 魏海东[1] 李小莉[1] 韩碧波 ZHAO Li-li;WEI Hai-dong;LI Xiao-li;HAN Bi-bo(Ultrasound Medicine Department of Zhengzhou Second People's Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州市第二人民医院超声医学科,河南郑州450000

出　　处：《罕少疾病杂志》2024年第1期93-94,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨经阴道二维超声对子宫内膜息肉及子宫内膜息肉病变诊断的应用价值。方法选取2019年1月至2022年1月在本院就诊的患者46例,据病理检查结果将其分为息肉组和病变组。记录两组患者临床资料、BMI、超声指标(子宫内膜厚度、病灶最大直径、病灶回声不均匀、血流丰富),并以病理检查为金标准,分析经阴道二维超声诊断价值。结果依据病理检查检查显示,息肉组30例,病变组16例。两组患者年龄、产次0次占比比较差异无统计学意义(P>0.05),两组患者BMI≥24kg/m^(2)、绝经后出血比较差异具有统计学意义(P<0.05);病变组子宫内膜厚度、病灶最大直径、病灶回声不均匀占比、血流丰富占比均显著高于息肉组,差异均具有统计学意义(P<0.05);以病理结果作为金标准,灵敏度为67.50%(27/40),特异度为16.67%(1/6),阳性预测值为84.38%(27/32),阴性预测值为7.14%(1/14),符合率为60.87%(28/46)。结论经阴道二维超声可作为辅助手段用于子宫内膜息肉及其病变的早期诊断和鉴别诊断。Objective To investigate the value of transvaginal two-dimensional ultrasound in the diagnosis of endometrial polyps and Lesion degeneration of endometrial polyps.Methods 46 patients admitted to our hospital from January 2019 to January 2022 were divided into polyp group and Lesion change group according to pathological examination results.Clinical data,BMI and ultrasound indexes(endometrial thickness,maximum lesion diameter,uneven lesion echo and rich blood flow)of the two groups were recorded,and pathological examination was used as the gold standard to analyze the diagnostic value of transvaginal two-dimensional ultrasound.Results According to pathological examination,there were 30 cases in polyp group and 16 cases in Lesion change group.There was no statistically significant difference in age and the proportion of birth times 0 between the two groups(P>0.05),and there was statistically significant difference in BMI≥24kg/m2、Postmenopausal bleeding between the two groups(P<0.05).Endometrial thickness,maximum lesion diameter,uneven lesion echo ratio and rich blood flow ratio in Lesion lesion group were significantly higher than those in polyp group,with statistical significance(P<0.05).Using pathological results as the gold standard,the sensitivity was 67.50%(27/40),specificity was 16.67%(1/6),positive predictive value was 84.38%(27/32),negative predictive value was 7.14%(1/14),and the coincidence rate was 60.87%(28/46).Conclusion Transvaginal two-dimensional ultrasound can be used as an auxiliary means for the early diagnosis and differential diagnosis of endometrial polyps and their lesions.

关 键 词：子宫内膜息肉 子宫内膜息肉病变 经阴道二维超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]