经阴道超声诊断子宫内膜病变的诊断效果  

The diagnostic effect of transvaginal ultrasonography in the diagnosis of endometrial lesions

作　　者：娄凤鸣 董雪菲[1] Lou Fengming;Dong Xuefei(Department of Ultrasound,Tonghua Central Hospital of Jilin Province,Tonghua 134001,China)

机构地区：[1]吉林省通化市中心医院超声科,吉林通化134001

出　　处：《实用妇科内分泌电子杂志》2023年第31期120-122,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究子宫内膜病变经阴道超声诊断的效果。方法选取80例疑似子宫内膜病变患者,经病理学检查后确诊。给予患者经阴道超声和经腹部超声检查,比较两种检查手段的诊断结果、诊断效能、子宫内膜病变类型诊断结果。结果80例疑似子宫内膜病变患者,经病理学检查后确诊为子宫内膜恶性病变12例,良性病变68例。两种检查方式的敏感度、特异度、准确率对比,差异有统计学意义(P<0.05)。经阴道超声与经腹部超声不同病变类型检出结果对比,差异有统计学意义(P<0.05)。影像学表现:子宫内膜癌:子宫形态增大,宫腔增大。超声显示子宫内膜增厚,呈不规则低回声,回声不均匀,宫腔内出现息肉样肿物,边缘不光滑,回声不均匀及液体积聚。宫腔内有丰富的血流信号,这些信号为网状形式。血管形态分布不规则。子宫黏膜下肌瘤:超声图像清晰,黏膜下肌瘤是类圆形或扁椭圆形,宫腔内回声团较低。子宫内膜息肉:边缘有较高回声,子宫内膜息肉与子宫肌层分界清晰。结论经阴道超声诊断子宫内膜病变诊断效果显著,诊断准确率高,在子宫内膜病变类型鉴别上具有应用优势。Objective To study the effect of transvaginal ultrasonography in diagnosis of endometrial lesions.Methods80 patients with suspected endometrial lesions were selected and confirmed by pathological examination.Transvaginal ultrasonography and transabdominal ultrasonography were performed to compare the diagnostic results,diagnostic efficiency and types of endometrial lesions.Results Of the 80 patients with suspected endometrial lesions,12 were diagnosed as malignant endometrial lesions and 68 were benign lesions after pathological examination.The sensitivity,specificity and accuracy of the two methods were compared,and the difference was statistically significant(P<0.05).The results of different lesion types of transvaginal ultrasound and transabdominal ultrasound were compared,and the difference was statistically significant(P<0.05).Imaging findings:Endometrial cancer:enlarged uterine shape and uterine cavity.Ultrasound showed thickening of the endometrium,irregular low echo,uneven echo,polypoid mass in the uterine cavity,non-smooth edges,uneven echo and fluid accumulation.There are abundant blood flow signals in the uterine cavity,and these signals are in the form of a network.Irregular distribution of blood vessel morphology.Uterine submucous myoma:the ultrasound image is clear,the submucous myoma is circular or oblate oval,and the intrauterine echo mass is low.Endometrial polyps:There are high echoes at the edges,and the boundary between endometrial polyps and the myometrium is clear.Conclusion Transvaginal ultrasound diagnosis of endometrial lesions has significant diagnostic effect,high diagnostic accuracy,and has application advantages in the differentiation of endometrial lesions.

关 键 词：经阴道超声 经腹部超声 子宫内膜病变 诊断价值 

分 类 号：R711.74[医药卫生—妇产科学]