摘要
目的探讨经阴道彩色多普勒超声诊断绝经后子宫内膜病变的价值,以期为临床治疗提供参考。方法选取2019年1—12月于天津市宝坻区人民医院收治的89例经组织病理学证实为子宫内膜病变的患者为研究组,另选取同期于本院接受体格检查的50例健康个体为对照组。对入组的研究对象均实施经阴道彩色多普勒超声检查。记录研究对象的子宫内膜厚度、宫腔积液情况、血流情况、回声特征、阻力指数等。对研究组患者进行刮宫术以获取病理标本(金标准),以计算超声检查的灵敏度、特异度。结果经阴道多普勒超声诊断子宫内膜息肉的灵敏度为90.00%,特异度为92.75%;经阴道多普勒超声诊断子宫黏膜下肌瘤的灵敏度为90.48%,特异度为94.12%;经阴道多普勒超声诊断子宫内膜增生的灵敏度为92.31%,特异度为93.65%;经阴道多普勒超声诊断子宫内膜癌的灵敏度为90.91%,特异度为94.03%。对照组、子宫内膜息肉组、子宫黏膜下肌瘤组、子宫内膜增生组、子宫内膜癌组研究对象子宫内膜厚度、有宫腔积液人数占比、有血流显示人数占比、阻力指数比较,差异均有统计学意义(P<0.05)。对照组、子宫内膜息肉组、子宫黏膜下肌瘤组、子宫内膜增生组、子宫内膜癌组研究对象超声显示强回声人数占比、低回声人数占比、液性回声人数占比比较,差异均有统计学意义(P<0.05)。对照组、子宫内膜息肉组、子宫黏膜下肌瘤组、子宫内膜增生组、子宫内膜癌组研究对象超声显示无血流人数占比、点状血流人数占比、丰富血流人数占比比较,差异均有统计学意义(P<0.05)。结论经阴道彩色多普勒超声诊断绝经后子宫内膜病变的价值较高,能够较好地区分子宫内膜病变类型,且具有可重复性、无创性,值得推广应用。
Objective This paper aims to investigate the value of transvaginal color Doppler ultrasound in the differential diagnosis of postmenopausal endometrial lesions to provide evidence for clinical treatment.Methods A total of 89 patients with pathologically confirmed endometrial lesions who were admitted to Baodi People's Hospital from January to December 2019 were selected as the study group,and another 50 healthy individuals who underwent physical examination in our hospital during the same period were selected as the control group.Transvaginal color Doppler ultrasound was performed on all enrolled participants.Endometrial thickness,uterine fluid volume,blood flow,echo characteristics,and resistance index were recorded.Patients in the study group underwent curettage to obtain pathological specimens(gold standard)to calculate the sensitivity and specificity of ultrasound.Results The sensitivity and specificity of transvaginal Doppler ultrasound in the diagnosis of endometrial polyps were 90.00%and 92.75%;its sensitivity and specificity in the diagnosis of submucous myoma,90.48%and 94.12%;its sensitivity and specificity in the diagnosis of endometrial hyperplasia,92.31%and 93.65%;and its sensitivity and specificity in the diagnosis of endometrial cancer,90.91%and 94.03%,respectively.There were significant differences in endometrial thickness,proportion of uterine fluid,proportion of blood flow display,and resistance index among the participants in the control,endometrial polyp,submucous myoma,endometrial hyperplasia,and endometrial cancer groups(P<0.05).Significant differences were observed in the proportion of hyperechogenicity,hypoechogenicity,and liquid echogenicity shown by ultrasound among the participants in the control,endometrial polyp,submucous myoma,endometrial hyperplasia,and endometrial cancer groups(P<0.05).The differences in the proportion of no blood flow,punctate blood flow,and rich blood flow shown by ultrasound among the participants in the control,endometrial polyp,submucous myoma,endometrial hyperplasia,and endometrial cancer groups were statistically significant(P<0.05).Conclusion Transvaginal color Doppler ultrasound is of high value in the differential diagnosis of postmenopausal patients with endometrial lesions and can better differentiate the type of molecular endometrial lesions,with reproducible results and noninvasive features.These benefits hold promise for a wider application of this procedure.
作者
吴学惠
Wu Xuehui(Department of Ultrasound,Baodi People's Hospital,Tianjin 301800,China)
出处
《保健医学研究与实践》
2023年第5期77-81,共5页
Health Medicine Research and Practice
关键词
彩色多普勒超声
绝经后女性
子宫内膜
Color Doppler ultrasound
Postmenopausal women
Endometrium
