子宫内膜息肉经腹部与经阴道超声声像图表现及诊断价值对比分析  

Comparison and analysis of the diagnostic value of transabdominal and transvaginal ultrasound images of endometrial polyps

作　　者：吴知蔓 Wu Zhi-man(Ultrasound Medicine Department,Shangrao Maternal and Child Health Hospital,Shangrao 334000,Jiangxi,China)

机构地区：[1]上饶市妇幼保健院超声医学科,江西上饶334000

出　　处：《四川生理科学杂志》2024年第9期2079-2081,共3页

摘　　要：目的:对比分析子宫内膜息肉经腹部与经阴道超声检查的声像图表现,并探讨两种检查方式的诊断价值。方法:回顾性收集2022年8月至2023年8月本院收治的90例子宫内膜病变患者临床资料,以病理活检结果作为诊断“金标准”,对比经腹部与经阴道超声检查的声像图表现及二者诊断价值的差异。结果:90例子宫内膜病变患者中,53例(58.89%)确诊为子宫内膜息肉。经阴道超声检查显示彩色多普勒超声血流显像(Color doppler flow imaging,CDFI)分级0~Ⅰ级患者比例低于经腹部超声检查(P<0.05),Ⅱ~Ⅲ级患者比例高于经腹部超声检查(P<0.05)。经阴道超声检查诊断子宫内膜息肉的敏感度、阴性预测值及准确度,均明显高于经腹部超声检查诊断(P<0.05),两种超声检查方式诊断的特异度、阳性预测值比较无统计学差异。结论:与经腹部超声检查对比,经阴道超声检查诊断子宫内膜息肉能够获得更准确的声像图信息,并提高对该病的诊断价值。Objective:To compare and analyze the ultrasound images of endometrial polyps examined by transabdominal and transvaginal ultrasound,and to explore the diagnostic value of the two examination methods.Methods:Clinical data of 90 patients with endometrial lesions admitted to our hospital from August 2022 to August 2023 were retrospectively collected.Physical biopsy results were used as the diagnostic"gold standard"to compare the ultrasound findings and diagnostic values of transabdominal and transvaginal ultrasound examinations.Results:Among 90 patients with endometrial lesions,53 cases(58.89%)were diagnosed with endometrial polyps.Transvaginal ultrasound examination showed that the proportion of color doppler flow imaging(CDFI)grade 0-I patients was lower than that of transabdominal ultrasound examination(P<0.05),and the proportion of grade II-III patients was higher than that of transabdominal ultrasound examination(P<0.05).The sensitivity,negative predictive value,and accuracy of transvaginal ultrasound in diagnosing endometrial polyps were significantly higher than those of abdominal ultrasound in diagnosing endometrial polyps.There was no statistically significant difference in the specificity and positive predictive value between the two ultrasound methods.Conclusion:Compared with transabdominal ultrasound,transvaginal ultrasound can obtain more accurate ultrasound information for diagnosing endometrial polyps and improve the diagnostic value of this disease.

关 键 词：子宫内膜息肉 腹部超声 阴道超声 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]