子宫内膜息肉、黏膜下肌瘤、内膜癌超声及病理鉴别诊断

发布时间：2018-01-09 11:16

本文关键词：子宫内膜息肉、黏膜下肌瘤、内膜癌超声及病理鉴别诊断　出处：《中国超声医学杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的分析子宫内膜息肉与黏膜下肌瘤、内膜癌的超声及病理鉴别诊断。方法分析子宫内膜病变患者98例的声像图特征,并对比手术病理诊断证实超声诊断的准确度。结果子宫腔内病变患者98例中,超声诊断子宫内膜息肉48例,诊断符合率93.75%;子宫黏膜下肌瘤41例,符合率87.80%;子宫内膜癌9例,符合率88.89%。临床总符合率为90.81%。各种病变在彩色多普勒超声图像上均有特征性的表现。结论经阴道彩色多普勒超声检查对子宫腔内病变具有独特的声像图特征,典型疾病的声像图与手术标本切面之间存在规律性的对应关系,诊断准确度较高,值得临床应用和推广。
[Abstract]:Objective to analyze the ultrasonographic and pathological differential diagnosis of endometrial polyps and submucous myoma and endometrial carcinoma. Methods the ultrasonographic features of 98 patients with endometrial lesions were analyzed. Results in 98 cases of intrauterine lesions, 48 cases of endometrial polyps were diagnosed by ultrasound, and the diagnostic coincidence rate was 93.75%. There were 41 cases of uterine submucous myoma, the coincidence rate was 87.80. 9 cases of endometrial carcinoma. The coincidence rate was 88.89 and the total clinical coincidence rate was 90.81.Conclusion Transvaginal color Doppler sonography is useful in the diagnosis of intrauterine lesions. With unique sonographic features. There is a regular correspondence between the sonogram of typical disease and the section of surgical specimen, and the diagnostic accuracy is high, which is worthy of clinical application and popularization.
【作者单位】：秦皇岛市海港区卫生执法监督所;秦皇岛市第四医院;
【分类号】：R445.1;R737.33;R711.74
【正文快照】： 经阴道彩色多普勒超声检查是一种非侵袭性、可快速进行连续扫描和容积数据采集,直观形象显示宫腔内部结构、简捷有效的全新方法[1]。本研究对98例子宫腔内病变的声像图表现进行总结分析,并与手术标本剖面、病理诊断相对照,探讨超声检查对其病变的价值,为临床提供参考。资料与

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