经阴道二维及三维超声对子宫内膜息肉的联合诊断价值(1)
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[摘要] 目的 探讨经阴道二维联合三维超声对子宫内膜息肉的诊断价值。 方法 选择2010年1月～2011年5月收治于我院的264例异常子宫出血患者，分别行经阴道二维超声、二维联合三维超声检查，并与病理学检查结果对照比较。 结果 二维超声检查与病理学诊断结果符合率为86.7%，二维联合三维超声检查与病理学诊断结果符合率为98.5%。后者诊断子宫内膜息肉结果的真实性显著优于前者(P < 0.05)。 结论 经阴道二维联合三维超声可以更加准确地诊断子宫内膜息肉，提高其诊断率。
[关键词] 二维超声；三维超声；子宫内膜息肉
[中图分类号] R711.74 [文献标识码] A [文章编号] 1673-7210(2012)02(b)-0091-02
Value of 2-dimensional and 3-dimensional transvaginal ultrasound for combined diagnosis of endometrial polyps
LIAO Fenghua
Qinzhou Maternal and Child Care Service Center, Guangxi Zhuang Autonomous Region, Qinzhou 535000, China
[Abstract] Objective To study the value of 2-dimensional and 3-dimensional transvaginal ultrasound for the combined diagnosis of endometrial polyps. Methods 264 patients with abnormal uterine bleeding admitted and treated in our hospital from January 2010 to May 2011 were selected to receive 2-dimensional transvaginal ultrasound or combined 2-dimensional and 3-dimensional ultrasound examination. The results were compared to the pathological examination results. Results The coincidence rate between 2-dimensional transvaginal ultrasound examination results and pathological examination results was 86.7% and that between combined 2-dimensional and 3-dimensional ultrasound examination results and pathological examination results was 98.5%. The latter examination was superior to the former one in the authenticity of endometrial polyps diagnosis results (P < 0.05). Conclusion The combined 2-dimensional and 3-dimensional transvaginal ultrasound can diagnose endometrial polyps more accurately and improve the diagnosis rate.
[Key words] 2-dimensional ultrasound; 3-dimensional ultrasound; Endometrial polyps
子宫内膜息肉(endometrial polyps，EP)是一种妇科常见病变，它是由子宫内膜腺体和含有厚壁血管的纤维化子宫内膜间质构成的突出于子宫内膜表面的良性结节[1]。EP一般常见于35岁以上患者，随着年龄增长期发病率亦呈不断升高，围绝经期前后其发病率最高，至70岁以后基本少见[2]。该病传统的临床诊断方法为诊断性刮宫，但是该法因具漏诊率较高、息肉组织清除不完全、对患者子宫内膜有损伤[3]等缺陷而逐步不被人接受。近年来随着超声仪器的发展，经阴道超声技术作为一种诊断子宫内膜疾病技术在临床上发挥着越来越重要的作用[4]。我院在2010年1月～2011年5月对264例异常子宫出血患者采用经阴道二维联合三维超声检查，其子宫内膜息肉诊断与病理学检查结果符合率较为理想，现将其详细资料报道如下：
1 资料与方法
1.1 一般资料
本组资料为2010年1月～2011年5月收治于我院的异常子宫出血患者264例，年龄23～67岁，平均43.2岁，主要表现为月经过多、白带增多、不规则阴道出血、月经淋漓不止、经期延长、绝经后子宫出血、不孕等症状 ......
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