经阴道超声鉴别诊断子宫内膜癌及子宫内膜增生症的价值分析

目的探讨经阴道超声技术鉴别诊断子宫内膜癌及子宫内膜增生症的价值分析。方法选取2015年7月至2018年10月深圳市龙华区人民医院妇科和肿瘤科诊治的180例已确诊子宫内膜病变患者作为研究对象。根据病理类型将子宫内膜癌患者为观察组85例,子宫内膜增生为对照组95例,两组通过临床资料回顾性分析检测结果与病理诊断的一致性,均进行阴道彩色多普勒超声检测,分析比较两组患者显像指标,如子宫内膜厚度、子宫血流显示率、血流阻力指数等,观察子宫形状、内膜回声,并记录检测结果。结果观察组中有81例诊断为子宫内膜癌,3例误诊,1例漏诊,准确率为95.29%(81/85);对照组中有90例诊断为子宫内膜增生症,3例误诊,2例漏诊,准确率为94.74%(90/95)。子宫内膜厚度观察组为(22.43±3.29)mm,对照组为(15.93±3.45)mm;子宫血流显示率观察组为82.37%,对照组为9.29%;血流阻力指数观察组为0.43±0.03,对照组为0.67±0.03;观察组子宫体增大,回声不均匀,子宫内膜不均匀轻度增厚,对照组子宫大小形态无异常,回声均匀,子宫内膜增厚。结论经阴道彩色多普勒超声技术能够鉴别诊断子宫内膜癌及子宫内膜增生症,在子宫内膜病变中能作为首选检测方法,具有一定临床应用推广价值。

Analysis of the value of transvaginal ultrasound in the differential diagnosis of endometrial cancer and endometrial hyperplasia

Objective To probe into the value of transvaginal ultrasound in the differential diagnosis of endometrial cancer and endometrial hyperplasia.Methods 180 patients with endometrial lesions diagnosed and treated in our hospital from July 2015 to October 2018 were selected as the research objects,and according to pathological type,were divided into the observation group(endometrial cancer,85 cases)and the control group(endometrial hyperplasia,95 cases).The consistency between the results of clinical data and pathological diagnosis were analyzed retrospectively.All the patients underwent transvaginal color Doppler ultrasonography to analyze and compare the imaging indexes,such as endometrial thickness,uterine blood flow display rate,blood flow resistance index and so on,and the shape of the uterus and endometrial echo was observed and recorded.Results In the observation group,there were 81 cases diagnosed as endometrial cancer,3 cases misdiagnosed and a case missed diagnosed,the accuracy rate of 95.29%(81/85).In the control group,there were 90 cases diagnosed as endometrial hyperplasia,3 cases misdiagnosed and 2 cases missed diagnosed,the accuracy rate of 94.74%(90/95).The thickness of endometrium in the observation group was(22.43±3.29)mm,while that in the control group was(15.93±3.45)mm.The uterine blood flow display rate in the observation group was 82.37%and that in the control group was 9.29%.The blood flow resistance in the observation group was 0.43±0.03,while that in the control group was 0.67±0.03.In the observation group,the uterus was enlarged with uneven echo,and the endometrium was uneven and slightly thickened.In the control group,the size and shape of the uterus were normal with even echo,and the endometrium was thickened.Conclusions The transvaginal color doppler ultrasonography which can differentiate endometrial cancer and endometrial hyperplasia,is recommended as the preferred detection method in endometrial lesions,with certain clinical application and promotion value.