经阴道彩色多普勒超声对子宫内膜病变的诊断价值

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摘要目的探讨经阴道彩色多普勒超声（TVCDS）对子宫内膜病变的诊断价值。方法选取我院2016年1月～2017年12月收治的106例子宫内膜病变患者作为研究对象，所有患者均采取TVCDS，并将检查的结果和手术病理结果进行比较。结果经过研究发现子宫内膜癌的患者均伴有宫腔积液；子宫内膜癌、子宫内膜复杂性增生的患者其子宫内膜的厚度均＞10 mm；子宫内膜复杂性增生和子宫内膜息肉的患者阻力指数（RI）比较，差异无统计学意义（P＞0.05）；子宫内膜复杂性增生、子宫内膜息肉和子宫内膜癌的患者RI值比较，差异有统计学意义（P＜0.05）；和手术病理诊断结果比较，采取TVCDS诊断对子宫内膜复杂性增生、子宫内膜息肉、子宫内膜癌的诊断符合率分别为93.75%、100.00%、95.00%。结论采取TVCDS诊断子宫内膜病变，检出率较高，且属于一项无创性检查，对子宫几乎无损伤，值得在临床进一步推广。

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	王欣欣

关键词 ：子宫内膜病变, 经阴道彩色多普勒超声, 手术病理

Abstract：Objective To investigate the diagnostic value of transvaginal color Doppler ultrasonography for endometrial lesions.Methods A total of 106 patients with endometrial lesions who were admitted to our hospital from January 2016 to December 2017 were selected as study subjects.All patients were given transvaginal color Doppler ultrasonography.The results of the examination were compared with the surgical pathology results.Results After study,patients with endometrial cancer were found to have uterine effusion;for the patients with endometrial cancer,endometrial complex hyperplasia,the thickness of the endometrium was＞10 mm;there were no significant differences in resistance index(RI)between endometrial complex hyperplasia and endometrial polyps(P＞0.05);the differences of the RI values of the patients with endometrial complex hyperplasia,endometrial polyps and endometrial cancer were statistically significant(P＜0.05);compared with the results of surgical pathological diagnosis,the diagnostic coincidence rates of transvaginal color Doppler ultrasound diagnosis for endometrial complex hyperplasia,endometrial polyps,and endometrial cancer were 93.75%,100.00%,and 95.00%,respectively.Conclusion Transvaginal color Doppler ultrasonography is used to diagnose endometrial lesions,and the detection rate is high.It is a non-invasive examination and has almost no damage to the uterus,which is worthy of further investigation and promotion in clinical practice.

Key words： Endometrial lesions Transvaginal color Doppler ultrasonography Surgical pathology

引用本文:

王欣欣. 经阴道彩色多普勒超声对子宫内膜病变的诊断价值[J]. 中国当代医药, 2019, 26(3): 78-80.
WANG Xin-xin. Diagnostic value of transvaginal color Doppler ultrasonography for endometrial lesions. 中国当代医药, 2019, 26(3): 78-80.

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