目的:评价经阴道超声检查对子宫内膜病变初步诊断的临床价值.方法:选取我院妇产科经诊刮、手术联合病理检查确诊的子宫内膜病变患者80例作为研究对象,回顾分析80例患者同时进行的经阴道超声检查结果和经腹部超声检查结果,并与经诊刮、手术联合病理检查诊断结果进行比较.结果:①80例患者经诊刮、手术联合病理检查诊断为子宫内膜息肉19例,子宫内膜增生35例,子宫粘膜下肌瘤5例,子宫内膜炎18例,子宫内膜癌3例.腹部超声检查诊断为子宫内膜息肉20例,子宫内膜增生34例,子宫粘膜下肌瘤8例,子宫内膜炎15例,子宫内膜癌3例.阴道超声检查诊断为子宫内膜息肉19例,子宫内膜增生35例,子宫粘膜下肌瘤6例,子宫内膜炎17例,子宫内膜癌3例.②经腹部超声检查诊断的准确率为72.5%,误诊率为27.5%;经阴道超声检查诊断的准确率为90.0%,误诊率为10.0%.经阴道超声检查诊断准确率显著高于经腹部超声检查,误诊率显著低于经腹部超声检查.结论:经阴道超声检查是具有简便、无创、准确率高的特点,是子宫内膜病变筛查和诊断的首选和可靠的方法,值得临床推广应用.%Objective: To evaluate the diagnosis value of transvaginal ultrasound for endometrial lesions. Method: 80 cases confirmed endometrial lesions by hysteroscopy and pathologic examination were studied, 80 patients were retrospectively analyzed at the same time of transvaginal ultrasound results, and abdominal ultrasound results and hysteroscopy and pathologic diagnosis were compared. Result: ① 80 patients with hysteroscopy and pathologic diagnosis of endometrial polyp 19 cases, endometrial hyperplasia 35 cases, 5 cases of fibroids in the uterine mucosa, 18 cases of endometritis, 3 cases of endometrial cancer. Abdominal ultrasound diagnosis of 20 cases of endometrial polyps, endometrial hyperplasia, 34 cases, eight cases of u-terine submucosal myoma, 15 cases of endometritis, 3 cases of endometrial cancer. Transvaginal ultrasound diagnosis of 19 cases of endometrial polyps, endometrial hyperplasia, 35 cases, six cases of fibroids in the u-terine mucosa, 17 cases of endometritis, 3 cases of endometrial cancer. ② After the diagnostic accuracy of abdominal ultrasound examination was 72. 5% , misdiagnosis rate was 27. 5% ; the diagnostic accuracy of transvaginal ultrasound was 90. 0% , misdiagnosis rate was 10. 0%. Transvaginal ultrasound diagnostic accuracy rate was significantly higher than by the abdominal ultrasound examination, the misdiagnosis rate was significantly lower than by the abdominal ultrasound examination. Conclusion: Transvaginal ultrasound is simple, noninvasive, with high accuracy characteristics of the screening and diagnosis of endometrial lesions preferred and reliable method, is worthy of clinical application.
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