经阴道二维与三维彩色多普勒超声在子宫内膜息肉诊断中的应用价值  

Application value of vaginal two-dimensional and three-dimensional color Doppler ultrasound in the diagnosis of endometrial polyps

作　　者：卢丽玉 刘小艳 徐婧 王志娟[2] Lu Liyu;Liu Xiaoyan;Xu Jing;Wang Zhijuan(Department of Ultrasound,Guangzhou United Family Hospital,Guangzhou 510335,China;Editorial Department of Chinese Journal of Neuromedicine,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)

机构地区：[1]广州和睦家医院超声科,广州510335 [2]南方医科大学珠江医院《中华神经医学杂志》编辑部,广州510282

出　　处：《国际医药卫生导报》2024年第22期3820-3823,共4页International Medicine and Health Guidance News

基　　金：广东省科技计划(2017A030303020)。

摘　　要：目的探讨经阴道二维彩色多普勒超声和经阴道三维彩色多普勒超声在子宫内膜息肉诊断中的应用价值。方法选取2021年5月至2023年12月广州和睦家医院收治的86例疑似子宫内膜息肉患者作为研究对象,年龄25~50岁。86例疑似子宫内膜息肉患者均进行经阴道二维彩色多普勒超声检查、经阴道三维彩色多普勒超声检查以及宫腔镜病理活检。依据病理诊断结果,采用χ^(2)检验,比较经阴道二维与三维彩色多普勒超声检查在子宫内膜息肉诊断中的价值。结果在86例疑似子宫内膜息肉患者中,经病理诊断为子宫内膜息肉81例。经阴道二维超声检查确诊子宫内膜息肉72例,漏诊9例,确诊率88.9%;经阴道三维超声检查确诊子宫内膜息肉79例,漏诊2例,确诊率97.5%;经阴道三维超声诊断子宫内膜息肉确诊率高于经阴道二维超声检查(P<0.05)。结论在子宫内膜息肉的诊断与评估中,经阴道超声技术具有较高的准确性和可靠性,尤其是经阴道三维超声,其可为临床治疗提供重要依据。Objective To explore the application value of transvaginal two-dimensional(2D)and three-dimensional(3D)color Doppler ultrasound in the diagnosis of endometrial polyps.Methods A total of 86 patients with suspected endometrial polyps who visited Guangzhou United Family Hospital from May 2021 to December 2023,aged 25-50 years,were retrospectively selected as the study subjects.All the 86 patients with suspected endometrial polyps underwent transvaginal 2D and 3D color Doppler ultrasound examinations and hysteroscopic pathological biopsy.The efficacies of transvaginal 2D and 3D color Doppler ultrasound examinations in the diagnosis of endometrial polyps were compared byχ^(2)test according to the pathological diagnosis results.Results Among the 86 patients with suspected endometrial polyps,81 cases were pathologically diagnosed as endometrial polyps.Among them,72 cases of endometrial polyps were confirmed by transvaginal 2D ultrasound,with 9 missed diagnoses,resulting in a diagnostic accuracy rate of 88.9%;79 cases of endometrial polyps were confirmed by transvaginal 3D ultrasound,with 2 missed diagnoses,resulting in a diagnostic accuracy rate of 97.5%;the diagnostic accuracy rate of transvaginal 3D ultrasound was higher than that of transvaginal 2D ultrasound(P<0.05).Conclusion Transvaginal ultrasound technology has high accuracy and reliability in the diagnosis and evaluation of endometrial polyps,especially transvaginal 3D ultrasound,which can provide important references for clinical treatment.

关 键 词：子宫内膜息肉 经阴道超声 二维超声 三维超声 

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]