Objective To explore the clinical value of two-dimensional saline infusion sonohysterography( 2D-SIS) in the diagnosis for the suhmucous fibroids. Methods 67 patients suspected of having the submucous fihroids were enrolled in this study. Surgical-pathologic examination were performed after 2D-TVS and 2D-SIS examination in all patients. Surgical - pathologic results as a diagnostic gold standard,the inspection results were analyzed. Results There were 48 cases of suhmucous myoma, 16 cases endometrial polyps, 2 cases blood clots for the machine. 1 case endometrial cancer. The sensitivity of 2D-TVS is 87. 5％ ,the specificity is 73. 6％ ,83. 5％ . The sensitivity of 2D-SIS is 97. 9％ . the specificity is 89. 4％ ,95. 5％ . Analysis of those findings indicated that there was significant difference( P ＜ 0. 05 ) between the two methods. Conclusion 2D-SIS inspection with high accuracy, is a reliable diagnostic method of submucous fibroids.%目的 探讨生理盐水宫腔声学造影对子宫粘膜下肌瘤的诊断价值.方法 对临床拟诊子宫粘膜下肌瘤的67例患者进行2D-TVS、2D-SIS及官腔镜手术-病理检查,以宫腔镜手术-病理检查为诊断金标准,对结果进行分析.结果 在67例患者中,检出粘膜下肌瘤48例,非肌瘤19例(其中内膜息肉16例,宫腔内机化血凝块2例,内膜癌1例).2D-TVS时子宫粘膜下肌瘤诊断的敏感性为87.5%,特异性73.6%,准确性83.5%;2D-SIS对子宫粘膜下肌瘤诊断的敏感性为97.9%,特异性89.4%,准确性95.5%.造影前、后诊断准确率比较差异有统计学意义(P＜0.05).结论 2D-SIS检查准确率高,是诊断宫腔内病变的可靠方法.
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