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超声诊断子宫内膜息肉45例分析

Ultrasonography diagnosis of 45 cases of endometrial polyps
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摘要 目的探讨超声在子宫内膜息肉诊断中的临床应用价值。方法将收治的45例病理诊断为子宫内膜息肉的患者作为研究对象,回顾性分析45例患者的超声检查表现和与病理学诊断结果的符合率。结果经阴道超声诊断为子宫内膜息肉的45例患者中,病理证实为子宫内膜息肉39例,误漏诊6例,经阴道超声诊断符合率为86.7%(39/45);超声图像呈现多样性,典型声像图表现为单发或多发的规则或不规则高回声团,形状主要以乳头状为主,回声团表面光滑,与子宫肌层之间边界清楚,不典型声像图表现为回声不均匀,内膜呈蜂窝状改变或前后壁内膜厚度不同。结论经阴道超声检查子宫内膜息肉的确诊率高,且具有重复性好、简便、费用低及无创的特点,是子宫内膜息肉有效的临床诊断手段。 Objective To investigate the clinical value of ultrasound diagnosis for endometrial polyps. Methods The 45 cases in our hospital pathology diagnosis of endometrial polyps in patients for the study,a retrospective analysis of 45 patients with ultrasound imaging performance,in line with the pathological diagnosis rate. Results Transvaginal ultrasound diagnosis of endometrial polyps in 45 patients,pathologically confirmed endometrial polyps in 39 cases,6 cases of misdiagnosis and missed diagnosis,transvaginal ultrasound diagnosis was 86. 7%( 39 /45); Ultrasound images showing the diversity of the typical performance of a single or multiple、regular or irregular hyperechoic mass,mainly in the shape of papillary based,smooth surface,clear boundary between the myometrium; Atypical cases,ultrasonography showed endometrial echo uneven,endometrial honeycomb change,or anterior and posterior endometrial thickness is not the same. Conclusion Transvaginal ultrasound diagnosis of endometrial polyps diagnosis rate is high,and has a good repeatability,simple,low cost and non- invasive characteristics. Ultrasonography is an effective diagnostic tool in clinical diagnosis of endometrial polyps.
机构地区 郑州市第 解放军
出处 《河南外科学杂志》 2016年第1期10-12,共3页 Henan Journal of Surgery
关键词 超声检查 子宫内膜息肉 临床诊断 Ultrasonography endometrial polyp Clinical diagnosis
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