【摘要】 目的 本文回顾性分析70例经病理证实为子宫内膜息肉的声像图表现，探讨经阴道超声对子宫内膜息肉的漏诊误诊原因，以提高超声对子宫内膜息肉的诊断准确率。方法 2003年1月～2004年1月间70例在我院住院手术的子宫内膜息肉，全部病例均经病理证实。采用Accuson Sequoia512和Philips HDI5000彩色多普勒超声诊断仪，经腹探头频率为2～5MHz，经阴道探头频率为5～9MHz。结果 本组70例病例中经阴道超声正确诊断36例(51.4%)，误诊6例(8.6%)，漏诊28例(40%)。误漏诊原因主要为:(1)声像图不典型;(2)检查时期的影响;(3)合并其他疾病的影响;(4)宫内节育器的影响;(5)检查条件的影响。结论 经阴道超声对内膜息肉的检出率较经腹超声明显提高，但仍有较大的误诊漏诊率。超声联合宫腔造影及经静脉对比声学造影的方法可望更敏感地诊断和鉴别诊断内膜息肉，提高诊断率。

    关键词 超声 子宫内膜息肉 诊断

    Analysis of the cause of misdiagnosis and missed diagnosis for endometrial

    polyps by transvaginal ultrasound

    She Zhihong，Xiong Yi，Wang Huifang，et al.

    Department of Ultrasound，Shenzhen People’s Hospital，Shenzhen518020.

    【Abstract】 Objective To improve the diagnostic rate of endometrial polyps by transvaginal ultrasound.Methods Seventy cases of endometrial polyps confirmed by pathology were analyzed retrospectively.Focus was put on the cause of misdiagnosis and missed diagnosis.Results Thirty-six cases of endometrial polyps were accurately diagnosed by transvaginal ultrasound ......