经阴道超声和超声子宫造影对子宫腔内病变诊断的比较  

Comparison of Transvaginal Sonography and Saline Infusion Sonohysterography for Diagnosis of Intracavitary Abnormalities

作　　者：刘朝晖[1] 韩劲松[1] 王泽密[1] 叶振亚[1] 张晓辉[1] 

机构地区：[1]北京大学第三医院妇产科B超室,北京市100083

出　　处：《中国超声医学杂志》2003年第5期385-388,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :评价经阴道超声和超声子宫造影对子宫腔内病变的诊断作用。方法 :经阴道超声诊断宫腔内异常的 44例患者 ,行超声子宫造影检查 ,以宫腔镜和病理结果为标准 ,计算两种方法诊断子宫内膜息肉、黏膜下肌瘤、内膜病变的敏感性、特异性、准确性、阳性预测值和阴性预测值。结果 :44例患者 ,经阴道超声诊断内膜息肉、黏膜下肌瘤、内膜病变的敏感性、特异性、准确性分别为 65%、 96%、 82 % ;94%、 96%、 95% ;1 0 0 %、67%、 77% ;超声子宫造影诊断内膜息肉、黏膜下肌瘤、内膜病变的敏感性、特异性、准确性分别为 85%、 1 0 0 %、93% ;1 0 0 %、 85%、 91 % ;1 0 0 %、 98%、 98%。结论 :与传统的经阴道超声相比 ,超声子宫造影对子宫腔内病变的诊断有很高的敏感性和特异性 ,是一种简便易行、疼痛少 。Objective:To evaluate the diagnostic role of transvaginal sonography(TVS) and saline infusion sonohysterography (SIS) in the detection of intracavitary abnormalities Methods:Forty four patients with intracavitary abnormalities were evaluated by TVS and SIS The diagnostic parameters of two techniques were compared with hysteroscopic and pathologic results Results:Of 44 patients,polypi?submucous myomas?hyperplasia and endometrial cancer were diagnosed by TVS and SIS? The sensitivity?specificity and diagnostic accuracy of TVS were 65%?96%?82%,94%?96%?95%;100%?67% and 77%,respectively Those of SIS were 85%?100%?93%,100%?85%?91%,100%?98% and 98%, respectively Conclusions:In comparison with TVS,SIS is an excellent technique with very high sensitivity and specificity for intracavitary abnormalities This procedure can be easily performed and well tolerated by patients without complications

关 键 词：子宫腔内病变 诊断方法 经阴道超声 超声子宫造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]