经阴道彩色多普勒超声诊断子宫内膜病变69例分析

目的 分析子宫内膜病变的超声声像图特征,提高超声诊断率.方法 回顾性分析69例超声检出子宫内膜病变患者的声像图特征,与病理诊断进行对比分析.结果 超声对子宫内膜病变诊断符合率为91.3%,其中子宫内膜息肉符合率93.0%,子宫内膜增生过长符合率91.3%,子宫内膜癌符合率84.2%,黏膜下子宫肌瘤符合率95.0%.另外,内膜癌与其他宫内膜良性病变的血流显示率及动脉阻力指数（RI）差异均有统计学意义（均P＜0.05）,与病理结果有显著相关性.结论 经阴道彩色多普勒超声是一种有效的诊断及鉴别诊断子宫内膜病变的检查方法.

Analysis of transvaginal color Doppler ultrasound in diagnosis for 69 patients with endometrival lesions

Objective To analyze the sonographic characteristics of endometrial lesions to increase the diagnostic accuracy of the sonography. Methods 69 patients diagnosed as endometrial lesions by transvaginal color Doppler sonography(TVCDS) were retrospectively analyzed. The findings of TVGDS were compared with pathological diagnosis. Results The total diagnostic accordance rate of TVCDS was 91. 3% for endometrial lesions, including 93. 0% for endometrial polyps,91. 3% for endometrial hyperplasia,84. 2% for endometrial cancer, and 95. 0% for submucosal uterine fibroids respectively. In addition,the blood flow image rate and arterial resistance index(RI) had significant difference (P＜0.05) between endometrial cancer and other benign lesions of endometrial, and all of these have obvious correlation with pathological findings. Conclusion TVCDS was an effective screening method for the diagnosis and differential diagnosis of endometrial lesions.