经阴道彩色多普勒超声诊断子宫内膜病变

目的观察经阴道彩色多普勒超声检查（TVCDU）对子宫内膜病变的诊断价值。方法对246例疑似子宫内膜病变患者行经腹壁彩色多普勒超声和TVCDU,观察子宫内膜病变的声像图特点,重点观察子宫内膜的厚度及血流分布等,并与手术及病理结果相对照。结果病理诊断子宫内膜病变242例。TVCDU诊断232例,诊断符合率为95.87%（232/242）;经腹壁彩色多普勒超声检查诊断182例,诊断符合率为75.21%（182/242）。TVCDU明显优于经腹壁彩色多普勒超声检查（P〈0.05）。结论TVCDU诊断子宫内膜病变符合率较高,且具有安全、无创等优点,可作为常规检查手段。

Transvaginal color Doppler ultrasound in identifying endometrium abnormality

Objective To observe the value of transvaginal color Doppler ultrasound (TVCDU) in the diagnosis of endometrial lesions. Methods All 246 patients suspected of endometrial diseases underwent TVCDU and transabdominal ultrasonography. Ultrasonographic characteristics, especially the uterine endometrial thickness and blood flow distribution were observed, and the results were compared with surgery and pathological results. Results A total of 242 patients were pathologically diagnosed as endometrial diseases. TVCDU diagnosed 232 cases, with the diagnostic accordance rate of 95.87%. Transabdominal ultrasonography diagnosed 182 cases, with the diagnostic accordance rate of 75.21%. TVCDU was superior to transabdominal color Doppler examination (P<0.05). Conclusion TVCDU has high diagnosis accordance rate and can be used as routine examination of endometrial diseases.