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目的:探讨经阴道超声诊断不规则阴道出血的应用价值。方法:回顾性分析59例经病理证实的不规则阴道出血患者的阴道超声资料,并与病理结果对照。结果:经阴道超声准确诊断50例,误诊9例,诊断符合率84.7%。其中诊断子宫内膜增生过长20例,诊断符合率95%;诊断内膜息肉21例,诊断符合率87.5%;诊断黏膜下肌瘤12例,诊断符合率为75.0%;诊断子宫内膜癌3例,诊断符合率75.0%;诊断正常内膜3例,诊断符合率100%。结论:经阴道超声能较准确反映不规则阴道出血患者子宫内膜的病理变化,可作为不规则阴道出血患者的首选检查方法。
Objective: To investigate the value of transvaginal ultrasound in the diagnosis of irregular vaginal bleeding. Methods: A retrospective analysis of 59 cases of pathologically confirmed irregular vaginal bleeding in patients with vaginal ultrasound data and pathological findings. Results: 50 cases were accurately diagnosed by transvaginal sonography and 9 cases were misdiagnosed. The coincidence rate was 84.7%. The diagnosis of endometrial hyperplasia in 20 cases, diagnosis of 95% compliance; diagnosis of endometrial polyps in 21 cases, the diagnostic coincidence rate of 87.5%; diagnosis of submucosal fibroids in 12 cases, the diagnostic coincidence rate was 75.0%; diagnosis of endometrial cancer 3 cases, diagnosis coincidence rate of 75.0%; diagnosis of normal endometrium in 3 cases, the diagnostic coincidence rate of 100%. Conclusion: Transvaginal ultrasound can accurately reflect the pathological changes of endometrium in patients with irregular vaginal bleeding, which can be used as the preferred method of examination for patients with irregular vaginal bleeding.