经阴道二维及三维超声对子宫内膜息肉诊断的时效性及准确率对比分析(1)
【摘要】 目的：分析经阴道二维超声(2D-TVS)与经阴道三维超声(3D-TVS)诊断子宫内膜息肉的时效性及准确率。方法：选取笔者所在医院2016年1月-2019年1月已确诊子宫内膜息肉的220例患者资料，分为两组，各110例，分别在增殖期、分泌期进行2D-TVS与3D-TVS检查，对检查结果进行对比分析。结果：2D-TVS与3D-TVS在增殖期对子宫内膜息肉的诊断准确率，高于分泌期，且3D-TVS在增殖期对子宫内膜息肉的诊断准确率高于2D-TVS，差异均有统计学意义(P<0.05)。结论：2D-TVS与3D-TVS对子宫内膜息肉的诊断有时效性，在增殖期准确度高于分泌期，且3D-TVS在增殖期对子宫内膜息肉的诊断准确率高于2D-TVS。
【关键词】 子宫内膜息肉; 经阴道超声; 三维
doi：10.14033/j.cnki.cfmr.2019.21.023 文献标识码 B 文章编号 1674-6805(2019)21-00-03
A Comparative Analysis of the Timeliness and Accuracy of Transvaginal Two-dimensional and Three-dimensional Ultrasound in the Diagnosis of Endometrial Polyps/LI Jin.//Chinese and Foreign Medical Research，2019，17(21)：-59
【Abstract】 Objective：To analyze the timeliness and accuracy of transvaginal two-dimensional ultrasound(2D-TVS) and transvaginal three-dimensional ultrasound(3D-TVS) in the diagnosis of endometrial polyps.Method：220 cases of endometrial polyps diagnosed in our hospital from January 2016 to January 2019 were randomly divided into two groups，110 cases in each group.Two-dimensional TVS and three-dimensional TVS were performed in the proliferative and secretory stages respectively，and the results were compared and analyzed.Result：The diagnostic accuracy of 2D-TVS and 3D-TVS for endometrial polyps in proliferative phase was higher than that in secretory phase，and the diagnostic accuracy of 3D-TVS for endometrial polyps in proliferative phase was higher than that of 2D-TVS，with statistical significance(P<0.05).Conclusion：The diagnostic accuracy of 2D-TVS and 3D-TVS for endometrial polyps is higher in proliferative phase than in secretory phase，and the diagnostic accuracy of 3D-TVS for endometrial polyps in proliferative phase is higher than that of 2D-TVS.
【Key words】 Endometrial polyps; Transvaginal ultrasound; Three-dimensional
First-author’s address：Hubei Traditional Chinese Medicine Hospital，Wuhan 430000，China
子宮内膜息肉(endometrial polyp，EP)，突出于子宫内膜的赘生物，由腺体、间质包围一个或多个螺旋动脉而组成，属于常见妇科病之一，有异常子宫出血、点滴样出血、痛经、月经不调，严重者可出现不孕、流产等临床表现，以异常子宫出血较常见[1-2]，但这类临床症状并不典型，而且有部分患者无明显症状，仅于体检时才发现，因此如何提高息肉的检出率，息肉的检查是否有时效性，以及2D-TVS与3D-TVS对息肉的诊断率是否一致是本次研究的主要目的。
1 资料与方法
1.1 一般资料
选取笔者所在医院2016年1月-2019年1月收治的220例子宫内膜息肉患者资料，患者年龄25～60岁，平均年龄(29.0±5.33)岁，异常子宫出血就诊患者80例，月经不调45例，不孕20例，常规体检发现75例。随机分成两组，各110例。分组后，问清患者月经史，根据月经规律与否调整检查时间，在增殖期检查的为增殖期组，在分泌期检查的为分泌期组，增殖期组患者年龄25～58岁，平均年龄(28.0±5.2)岁，分泌期组26～60岁，平均年龄(29.0±4.3)岁，两组患者年龄、病情等差异无统计学意义(P>0.05)，所有患者均行经阴道二维及三维超声检查，均有同一位超声医师操作。, http://www.100md.com(李晋)
【关键词】 子宫内膜息肉; 经阴道超声; 三维
doi：10.14033/j.cnki.cfmr.2019.21.023 文献标识码 B 文章编号 1674-6805(2019)21-00-03
A Comparative Analysis of the Timeliness and Accuracy of Transvaginal Two-dimensional and Three-dimensional Ultrasound in the Diagnosis of Endometrial Polyps/LI Jin.//Chinese and Foreign Medical Research，2019，17(21)：-59
【Abstract】 Objective：To analyze the timeliness and accuracy of transvaginal two-dimensional ultrasound(2D-TVS) and transvaginal three-dimensional ultrasound(3D-TVS) in the diagnosis of endometrial polyps.Method：220 cases of endometrial polyps diagnosed in our hospital from January 2016 to January 2019 were randomly divided into two groups，110 cases in each group.Two-dimensional TVS and three-dimensional TVS were performed in the proliferative and secretory stages respectively，and the results were compared and analyzed.Result：The diagnostic accuracy of 2D-TVS and 3D-TVS for endometrial polyps in proliferative phase was higher than that in secretory phase，and the diagnostic accuracy of 3D-TVS for endometrial polyps in proliferative phase was higher than that of 2D-TVS，with statistical significance(P<0.05).Conclusion：The diagnostic accuracy of 2D-TVS and 3D-TVS for endometrial polyps is higher in proliferative phase than in secretory phase，and the diagnostic accuracy of 3D-TVS for endometrial polyps in proliferative phase is higher than that of 2D-TVS.
【Key words】 Endometrial polyps; Transvaginal ultrasound; Three-dimensional
First-author’s address：Hubei Traditional Chinese Medicine Hospital，Wuhan 430000，China
子宮内膜息肉(endometrial polyp，EP)，突出于子宫内膜的赘生物，由腺体、间质包围一个或多个螺旋动脉而组成，属于常见妇科病之一，有异常子宫出血、点滴样出血、痛经、月经不调，严重者可出现不孕、流产等临床表现，以异常子宫出血较常见[1-2]，但这类临床症状并不典型，而且有部分患者无明显症状，仅于体检时才发现，因此如何提高息肉的检出率，息肉的检查是否有时效性，以及2D-TVS与3D-TVS对息肉的诊断率是否一致是本次研究的主要目的。
1 资料与方法
1.1 一般资料
选取笔者所在医院2016年1月-2019年1月收治的220例子宫内膜息肉患者资料，患者年龄25～60岁，平均年龄(29.0±5.33)岁，异常子宫出血就诊患者80例，月经不调45例，不孕20例，常规体检发现75例。随机分成两组，各110例。分组后，问清患者月经史，根据月经规律与否调整检查时间，在增殖期检查的为增殖期组，在分泌期检查的为分泌期组，增殖期组患者年龄25～58岁，平均年龄(28.0±5.2)岁，分泌期组26～60岁，平均年龄(29.0±4.3)岁，两组患者年龄、病情等差异无统计学意义(P>0.05)，所有患者均行经阴道二维及三维超声检查，均有同一位超声医师操作。, http://www.100md.com(李晋)