摘要
目的探究经阴道超声造影用于子宫内膜病变的临床诊断价值。方法选取2017年3月至2018年12月收治的106例绝经后阴道出血患者,所有患者均采用经阴道超声造影检查并经病理检查证实,对比经阴道超声造影与病理诊断的符合率。结果经阴道造影检查结果显示59例符合子宫内膜增生声像改变,占总数的55.7%,其中54例与病理诊断相符,其余5例经病理诊断证实为子宫内膜息肉3例,子宫黏膜下肌瘤1例,子宫内膜癌1例,诊断符合率91.5%;经阴道超声造影检出子宫内膜息肉26例,其中20例与病理诊断相符,其余6例包括子宫内膜增生4例,子宫黏膜下肌瘤2例,诊断符合率76.9%;经阴道超声造影检出子宫黏膜下肌瘤17例,其中13例与病理诊断相符,其余4例包括子宫内膜增生1例,子宫内膜息肉1例,子宫内膜癌2例,诊断符合率76.5%;经阴道超声造影检出子宫内膜癌4例,其中2例与病理诊断相符,其余2例均为子宫内膜息肉,诊断符合率50.0%;Kappa一致性检验κ=0.77,提示经阴道超声造影的检查结果与病理诊断一致性较好。结论经阴道超声造影具有安全无创的特点,在子宫内膜病变诊断中的准确性较好。
Objective To explore the clinical value of transvaginal ultrasonography in the diagnosis of endometrial diseases.Methods A total of 106 females with postmenopausal vaginal bleeding from March 2017 to December 2018 were selected,and all the patients were diagnosed by transvaginal ultrasound and confirmed by pathological examination.The diagnostic coincidence rate was observed and analyzed.Results Out of 59 cases(55.7%)of endometrial hyperplasia diagnosed by transvaginal ultrasound,54 cases were consistent with pathological diagnosis(91.5%),and there were 3 cases of endometrial polyp,1 case of submucous myoma and 1 case of endometrial cancer confirmed by pathological diagnosis.Among 26 cases of endometrial polyps detected by transvaginal ultrasonography,20 cases were consistent with pathological diagnosis(76.9%),and there were 4 cases of endometrial hyperplasia and 2 cases of submucous myoma confirmed by pathological diagnosis.In 17 cases of submucous myoma detected by transvaginal ultrasound,13 cases were consistent with the pathological diagnosis(76.5%),and there were 1 case of endometrial hyperplasia,1 case of endometrial polyp and 2 cases of endometrial cancer.In four cases of endometrial carcinoma detected by transvaginal ultrasound,2 cases were consistent with pathological diagnosis(50.0%),and the other 2 cases were endometrial polyps.Kappa consistency test(κ=0.77)suggested that the diagnostic value of transvaginal ultrasonography was consistent with the pathological findings preferably.Conclusion Transvaginal ultrasonography is safe and noninvasive and has a good accuracy in the diagnosis of endometrial lesions.
作者
李明慧
李慧敏
贺玲
李巍伟
马富成
LI Ming-hui;LI Hui-min;HE ling;LI Wei-wei;MA Fu-cheng(Department of Ultrasound,Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830011,China)
出处
《中国临床研究》
CAS
2020年第8期1084-1086,共3页
Chinese Journal of Clinical Research
基金
新疆维吾尔自治区自然科学基金(2017D01C406)。
关键词
子宫内膜病变
经阴道超声造影
诊断
Endometrial lesions
Transvaginal ultrasonography
Diagnosis
作者简介
通讯作者:马富成,E-mail:75804879@qq.com。
