经阴道超声联合经腹部彩超诊断更年期子宫内膜病变效果分析  

Analysis on the effect of the transvaginal and the transabdominal color ultrasonography for diagnosing the endometrial lesions of menopausal women

作　　者：张翠红 李天华 ZHANG Cuihong;LI Tianhua(Shijiazhuang Maternal and Child Health Care Hospital,Shijiazhuang,Hebei Province,050000)

机构地区：[1]河北省石家庄市妇幼保健院,050000

出　　处：《中国计划生育学杂志》2024年第12期2857-2860,共4页Chinese Journal of Family Planning

基　　金：河北省石家庄市妇幼保健院(20221660)。

摘　　要：目的:探讨经阴道联合经腹部彩超在更年期子宫内膜病变中的诊断效果。方法:回顾性分析2022年1月-2023年1月本院诊治的更年期子宫内膜病变患者300例临床资料,均行经腹彩超、经阴道超声及病理检查。以病理检查结果为金标准,分析比较两种超声检查子宫内膜病变的检查符合率及病种诊断效果。结果:病理检查300例中,子宫内膜增生占比32.7%,萎缩性内膜占比13.0%,子宫内膜癌占比7.3%,子宫内膜息肉占比28.7%,子宫黏膜下肌瘤占比18.3%;诊断子宫内膜病变恶性与病理结果的符合率经腹部彩超(59.1%)、经阴道超声(77.3%)、2项超声联合(100.0%)依次升高(P<0.05);对子宫内膜病变病种的检查准确率,经腹部彩超、经阴道超声、2项联合检查依次升高(P<0.05)。结论:经阴道联合经腹部彩超在更年期子宫内膜病变中良性、恶性鉴别诊断效果提高,且经阴道超声检查效果优于经腹部彩超检查。Objective:To study the effect of the transvaginal and the transabdominal color ultrasonography for diagnosing the endometrial lesions of menopausal women.Methods:A retrospective analysis was performed on the clinical data of 300 menopausal women with endometrial lesions from January 2022 to January 2023.These women had been examined by the transvaginal and the transabdominal color ultrasonography and pathology.The pathological examination results were as the gold standard,the coincidence rate and the effect of the menopausal women for diagnosing their endometrial lesions were analyzed and were compared between the transvaginal color ultrasonography and the transabdominal color ultrasonography.Results:Based on 300 women with the pathological examination results,the rates of the endometrial hyperplasia,the atrophic endometrium,the endometrial cancer,the endometrial polyps and the submucosal myoma of the women were 32.7%,13.0%,7.3%,28.7%and 18.33%,respectively.According to the postoperative pathologic results,the coincidence rates of diagnosing the endometrial lesions of the menopausal women by the transabdominal color ultrasonography,the transvaginal color ultrasonography and the combination of the transabdominal and transvaginal color ultrasonography were 59.1%,77.3%,and 100.0%,and which had increased gradually(P<0.05).The accuracy of diagnosing the endometrial lesions of the menopausal women by the transabdominal color ultrasonography,the transvaginal color ultrasonography and the combination of the transabdominal and transvaginal color ultrasonography also had increased gradually(P<0.05).Conclusion:The effect of the transvaginal combined with the transabdominal color ultrasound for differential diagnosing the benign and malignant endometrial lesions of the menopausal women is better,and which of the transvaginal color ultrasound is superior to that of the transabdominal color ultrasound.

关 键 词：更年期 子宫内膜病变 良恶性鉴别 经阴道超声 经腹部彩超 临床效果 

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]