阴道彩超对子宫黏膜下肌瘤及子宫内膜息肉的诊断价值

目的探讨经阴道彩色多普勒超声检查对子宫黏膜下肌瘤、子宫内膜息肉的诊断价值。方法回顾性分析85例经手术病理证实的子宫黏膜下肌瘤、子宫内膜息肉患者经阴道彩色多普勒超声检查的声像图表现及诊断的符合情况。结果本组病例85例,经阴道彩色多普勒超声检查诊断符合率89.4%（76/85）,其中子宫黏膜下肌瘤31例,诊断符合率93.6%（29/31）;子宫内膜息肉54例,诊断符合率为87.0%（47/54）。结论子宫内膜息肉及子宫黏膜下肌瘤各具一定声像特点,经阴道彩色多普勒超声检查对子宫黏膜下肌瘤、子宫内膜息肉能更清晰显示病变以及病变与宫内膜和肌壁间的关系,捕捉敏感血流信号,对两者的诊断、鉴别诊断和临床治疗有较高的价值。

The diagnostic value of transvaginal color Doppler sonography in submucous myoma and endometrial polyps

Objective To evaluate the diagnostic value of transvaginal color Doppler ultrasonography in submucous myoma and endometrial polyps.Methods The image of 85 cases with submucous myoma and endometrial polyps demonstrated by operation and pathology was analyzed retrospectively to investigate the transvaginal color Doppler ultrasonography diagnosis accordance.Results 76 of the total 85 cases were demonstrated by operation and pathology to accord with the diagnosis of transvaginal ultrasonography.29 of 31 cases with submucous myoma were accurately diagnosed by transvaginal color doppler ultrasonography and the diagnosis accordance was 93.6%,and 47 of 54 cases with endometrial polyps were correctly diagnosed by transvaginal color doppler ultrasonography and the diagnosis accordance was 87.0%.Conclusion Transvaginal color doppler sonography has practical usage in the diagnosis and differential diagnosis in submucous myoma and endometrial polyps.