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目的:探讨阴道超声诊断不孕症子宫内膜病变的价值。方法:对2007年9月~2009年11月在该院阴道超声诊断为子宫内膜异常的560例不孕症患者的子宫内膜诊断结果与宫腔镜及内膜活检结果进行对比分析。结果:560例不孕症患者宫腔镜检查及内膜活检诊断为异常子宫内膜489例,正常子宫内膜69例,有2例因宫颈管多发息肉、黏连,进镜困难,导致操作失败。结论:阴道超声监测卵泡期子宫内膜情况,是不孕症诊治过程中的重要环节,也是发现子宫内膜病变的一种廉价、无创的重要检查方法;阴道超声可以作为宫腔镜检查的初筛,而宫腔镜检查可为子宫内膜病变提供准确的诊断。
Objective: To explore the value of vaginal ultrasonography in the diagnosis of infertility endometrial lesions. Methods: The endometrial findings of 560 infertility patients diagnosed as endometriosis by vaginal ultrasound in our hospital from September 2007 to November 2009 were compared with those of hysteroscopy and endometrial biopsy. Results: Hysteroscopy and endometrial biopsy in 560 cases of infertility patients were diagnosed as 489 cases of abnormal endometrium, 69 cases of normal endometrium, 2 cases of polyp caused by cervical canal polyp, adhesion, difficult to enter the mirror, resulting in operation failure. Conclusion: Vaginal ultrasound monitoring follicular endometrial conditions is an important part of the diagnosis and treatment of infertility, and is an inexpensive and noninvasive method of detecting endometrial lesions. Vaginal ultrasound can be used as the early stage of hysteroscopy Sieve, and hysteroscopy can provide accurate diagnosis of endometrial lesions.