子宫内膜息肉的超声诊断  

Ultrasonic diagnosis of uterine endometrial polyps

作　　者：凌梅立[1] 

机构地区：[1]上海市第一妇婴保健院,200040

出　　处：《上海医学影像》2004年第1期9-11,共3页Shanghai Medical Imaging

摘　　要：目的 探讨超声诊断子宫内膜息肉的价值。方法 用经阴道二维黑白超声、彩色多普勒超声、经阴道宫腔超声造影对疑有子宫内膜息肉患者进行检查。结果与手术和病理对照。结果 49例内膜息肉,经手术和病理证实符合率为87.8％(43/49)。误诊6例,误诊率为12.2％(6/49)。内膜息肉的宫腔线弯曲、中断、或消失。内膜间见异常回声团块,二维声像表现为高强回声团块、高回声团块伴蜂窝状大小不等的液性暗区以及中等回声团块。经CDFl检查,血流检出率为93.8％(15/16)。息肉瘤体中可见一条较粗长的血管,从内膜基底层相当于息肉蒂的部位连续到瘤体内。内膜息肉在宫腔超声造影中见息肉呈圆形、笋尖状等多种形态,隐藏在内膜间的小息肉,在造影中,内膜被液体推开时,则可显露无疑。结论 经阴道超声检查能有效地对子宫内膜息肉进行诊断,结合彩色多普勒超声和宫腔超声造影,可提高诊断符合率。诊断内膜息肉应与内膜增生过长、粘膜下肌瘤等疾病鉴别。Purpose The study was aimed to assess the value of ultrasonic diagnosis of uterine endometrial polyps. Methods Fourtynine cases of suspected endometrial polyps were examined with transvaginal two-dimentinal, colorDopplar ultrasound and transvaginal hysteriosonography (TVS-SHG). The results were compared with those of operation and pathology. Results All 49 cases had surgical resction or operative hysteroscopy. The pre-operative ultrasound diagnosis was 87.8% (43/49). The misdiagnosis rate was 12.2%, The uterine cavity line was irregular, discontinued or disappeared. The polyps presented high or echeogenicity with certain amount of fluid around the polyps. Color flow signal were detected in 15 of 16 cases with a rate of 93.8%. A blood flow signal was showed from the endomerial base to the body of polyps. TVS-SHG revealed irregular shape of polyps and some polyps had a base and were movable within the cavity fluid. Conclusion Transvaginal uhrasonic examination is a very useful technigue in diagnosing with the combination of color Doppler ultrasound and hysteriosonograpy, the diagnostic accuracy will be raised. In order to make correct diagnosis, detailed history is very important and endometrial hyperplasia, submucous myomas should be differentiated.

关 键 词：子宫内膜息肉 超声检查 诊断 误诊 鉴别诊断 

分 类 号：R737.33[医药卫生—肿瘤] R445.1[医药卫生—临床医学]