经阴道超声鉴别诊断子宫内膜癌及子宫内膜增生症的价值研究  

Value of Transvaginal Ultrasonography in Differential Diagnosis of Endometrial Carcinoma and Endometrial Hyperplasia

作　　者：钱林莉 Qian Linli(Zunyi Maternal and Child Health Care Hospital,Zunyi 563000,Guizhou Province,China)

机构地区：[1]遵义市妇幼保健院,贵州遵义563000

出　　处：《中外医药研究》2024年第35期154-156,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析经阴道超声鉴别诊断子宫内膜癌及子宫内膜增生症的价值。方法:选取2021年1月—2023年12月遵义市妇幼保健院收治的子宫内膜病变患者80例作为研究对象,均接受经阴道超声检查,以手术病理诊断结果为“金标准”,确诊子宫内膜癌为阳性,子宫内膜增生症为阴性,分析经阴道超声检查的诊断效能,比较子宫内膜癌、子宫内膜增生症患者经阴道超声检查主要参数。结果:手术病理诊断结果显示,阳性18例,阴性62例。经阴道超声检查的灵敏度为83.33%(15/18),特异度为95.16%(59/62),阳性预测值为83.33%(15/18),阴性预测值为95.16%(59/62),准确率为92.50%(74/80)。经阴道超声检查结果与手术病理诊断结果的一致性良好(Kappa=0.892,P=0.038)。子宫内膜癌患者子宫内膜厚度、体积均大于子宫内膜增生症患者,子宫血流显示率高于子宫内膜增生症患者,血流阻力指数小于子宫内膜增生症患者(P<0.001)。结论:在子宫内膜癌、子宫内膜增生症的鉴别诊断中,经阴道超声与手术病理诊断结果的一致性良好,诊断效能较高。Objective:To analyze the value of transvaginal ultrasonography in differential diagnosis of endometrial carcinoma and endometrial hyperplasia.Methods:A total of eighty patients with endometrial lesions admitted to Zunyi Maternal and Child Health Hospital from January 2021 to December 2023 were selected as the study objects,and all of them received transvaginal ultrasonography.The surgical pathology was the"gold standard",the diagnosis of endometrial carcinoma was positive and endometrial hyperplasia was negative.The diagnostic efficiency of transvaginal ultrasonography was analyzed.The main parameters of transvaginal ultrasonography in patients with endometrial carcinoma and endometrial hyperplasia were compared.Results:The pathological results showed that 18 cases were positive and 62 cases were negative.The sensitivity of transvaginal ultrasonography was 83.33%(15/18),the specificity was 95.16%(59/62),the positive predictive value was 83.33%(15/18),the negative predictive value was 95.16%(59/62),and the accuracy was 92.50%(74/80).The results of transvaginal ultrasonography were in good agreement with those of surgical pathology(Kappa=0.892,P=0.038).Endometrial thickness and volume were higher in patients with endometrial carcinoma than in patients with endometrial hyperplasia,uterine blood flow display rate was higher than that in patients with endometrial hyperplasia,and blood flow resistance index was lower than that in patients with endometrial hyperplasia(P<0.001).Conclusion:In the differential diagnosis of endometrial carcinoma and endometrial hyperplasia,the results of transvaginal ultrasonography and surgical pathology are in good agreement,and the diagnostic efficiency is high.

关 键 词：阴道超声 子宫内膜癌 子宫内膜增生症 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.33[医药卫生—诊断学] R711.74[医药卫生—临床医学]