子宫内膜息肉的经阴道超声误诊分析

目的 探讨经阴道超声在子宫内膜息肉诊断和鉴别诊断中的应用价值.方法 对110例经阴道超声检耷拟诊为子宫内膜息肉并进行官腔镜手术者结合病理结果 作回顾性分析.结果 110例术前超声诊断为子宫内膜息肉者,经宫腔镜和病理证实符合者为75例,占68.2%;误诊35例,误诊率31.8%,误诊病例包括内膜增生、宫腔粘连和黏膜下肌瘤.结论 通过临床症状、声像图特征及选择适当的检查时间可降低子宫内膜息肉的误诊率.

Analysis on misdiagnosis of endometrial polyps by transvaginal ultrasound

Objective To investigate the value of transvaginal ultrasound in the diagnosis of endometrial polyps. Methods One hundred and ten patients diagnosed as endometrial polyps by transvaginal ultrasound and undergone operative hysteroscopy and histologic examination, were analyzed retrospectively.Results Among 110 cases 75 cases (68.2%) were accurately diagnosed by transvaginal ultrasound,while 35 cases (31.8%) were misdiagnosed.The diseases misdiagnosed included endometrium hyperplasia,intrauterine adhesions and submucousmyoma.Conclusions Combining clinical symptoms with ultrasonogram characters and optimal time of detection can reduce the misdiagnostic rate of endometrial polyps.