论文部分内容阅读
目的比较经阴道超声和腹部超声诊断子宫内膜病变的检出率,探讨经阴道超声的临床应用价值。方法选择2015年1月至2016年12月收治的131例子宫内膜病变患者作为研究对象,入组患者均进行经阴道超声和腹部超声检查,并经手术病理证实,比较经阴道超声和腹部超声诊断子宫内膜病变的检出率,比较不同子宫内膜病变经阴道超声指标差异,包括宫内膜厚度、宫腔积液、血流显示情况、阻力指数。结果经阴道超声诊断子宫内膜息肉、子宫黏膜下肌瘤、宫内膜增生过长及子宫内膜癌的检出率分别为93.85%、96.97%、92.59%、100.00%,均明显高于经腹部超声66.15%、66.67%、62.96%、50.00%,差异有统计学意义(P<0.05)。子宫内膜增生过长、子宫内膜癌、子宫内膜息肉、子宫黏膜下肌瘤的宫内膜厚度比较,差异有统计学意义(P<0.05);子宫内膜增生过长和子宫内膜癌患者的宫内膜厚度均超过10 mm。子宫内膜癌患者的宫腔积液的发生率、血流显示率明显高于子宫内膜息肉、子宫黏膜下肌瘤、宫内膜增生过长,差异有统计学意义(P<0.05);血流阻力指数显著低于子宫内膜息肉、子宫黏膜下肌瘤、宫内膜增生过长,差异有统计学意义(P<0.05)。结论经阴道超声诊断子宫内膜病变的检出率明显高于经腹部超声检查,且能有助于鉴别病灶的良恶性,可作为诊断子宫内膜病变的首选方法。
Objective To compare the detection rate of transvaginal ultrasound and abdominal ultrasonography in the diagnosis of endometrial lesions and explore the clinical value of transvaginal ultrasound. Methods A total of 131 cases of endometrial lesions were selected from January 2015 to December 2016. All the patients underwent transvaginal ultrasound and abdominal ultrasonography and confirmed by surgery and pathology. Transvaginal sonography and abdominal ultrasonography Diagnosis of endometrial lesions detection rate, compared with different endometrial lesions transvaginal ultrasound differences, including endometrial thickness, uterine effusion, blood flow showed that the resistance index. Results The detection rates of transvaginal ultrasound in endometrial polyps, uterine fibroids, endometrial hyperplasia and endometrial carcinoma were 93.85%, 96.97%, 92.59% and 100.00% Abdominal ultrasound 66.15%, 66.67%, 62.96%, 50.00%, the difference was statistically significant (P <0.05). Endometrial hyperplasia, endometrial cancer, endometrial polyps, endometrial thickness of uterine fibroids, the difference was statistically significant (P <0.05); endometrial hyperplasia and endometrial Endometrial cancer patients with more than 10 mm in thickness. The incidence of uterine effusion and blood flow in patients with endometrial cancer were significantly higher than those in patients with endometrial polyps, uterine fibroids and endometrial hyperplasia (P <0.05). Blood flow resistance index was significantly lower than the endometrial polyps, uterine fibroids, endometrial hyperplasia, the difference was statistically significant (P <0.05). Conclusions The detection rate of transvaginal ultrasound in endometrial lesions is significantly higher than that of transabdominal ultrasound, and can help identify the benign and malignant lesions, which may be the first choice for the diagnosis of endometrial lesions.