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目的:探讨经阴道和经腹部彩色多普勒超声在子宫内膜病变诊断中的价值比较。方法:采用随机取样法,选取2012年6月至2015年8月我院接诊的180例子宫内膜病变患者,将所选取的子宫内膜病变患者随机分为2组,每组各90例。观察组采用经阴道彩色多普勒超声的方法检查患者子宫内膜病变情况,对照组则采用腹部彩色多普勒超声的方法检查。最后将两组检查结果与病理诊断结果进行对比分析。结果:观察组的病理诊断结果与对照组结果类似,不具有统计学差异(P>0.05),可进行比较。观察组采用经阴道彩色多普勒超声检查,发现子宫黏膜下肌瘤34例,子宫内膜息肉36例,子宫内膜增生16例,子宫内膜癌4例。与病理诊断结果相比较,符合率分别为94.1%、94.4%、87.5%、75.0%。总符合率为92.2%。对照组经腹部彩色多普勒超声后,发现子宫黏膜下肌瘤35例,子宫内膜息肉31例,子宫内膜增生17例,子宫内膜癌7例。与病理诊断结果相比较,符合率分别为82.9%、77.4%、7.06%、57.1%。总符合率为76.7%。经比较发现,观察组与对照组符合率无明显差异(P>0.05);但观察组的总符合率明显高于对照组,差异具有统计学意义(P<0.05)。结论:采用经阴道彩色多普勒超声的方法诊断子宫内膜病变情况取得了良好的效果,提高了诊断准确率,减少了误诊、漏诊的情况,值得广泛应用。
Objective: To investigate the value of transvaginal and transabdominal color Doppler ultrasound in the diagnosis of endometrial lesions. Methods: A total of 180 cases of endometrial lesions were selected from June 2012 to August 2015 in our hospital. The patients with endometriosis were randomly divided into two groups, 90 cases in each group . The observation group used transvaginal color Doppler ultrasonography to examine the patient’s endometrial lesions, while the control group was examined by abdominal color Doppler ultrasound. Finally, two groups of test results and pathological diagnosis results were compared. Results: The pathological diagnosis results of the observation group were similar to those of the control group, with no statistical difference (P> 0.05), which could be compared. The observation group by transvaginal color Doppler ultrasound examination found 34 cases of uterine submucous myoma, 36 cases of endometrial polyps, 16 cases of endometrial hyperplasia, 4 cases of endometrial cancer. Compared with the pathological diagnosis results, the coincidence rates were 94.1%, 94.4%, 87.5% and 75.0% respectively. The total coincidence rate was 92.2%. In the control group, 35 cases of uterine submucosal fibroids, 31 cases of endometrial polyps, 17 cases of endometrial hyperplasia and 7 cases of endometrial carcinoma were found by color Doppler ultrasound in the abdomen. Compared with the pathological diagnosis results, the coincidence rates were 82.9%, 77.4%, 7.06%, 57.1% respectively. The total coincidence rate was 76.7%. The comparison between the observation group and the control group showed no significant difference (P> 0.05). However, the overall coincidence rate of the observation group was significantly higher than that of the control group (P <0.05). Conclusion: Transvaginal color Doppler ultrasound diagnosis of endometrial lesions have achieved good results, improve the diagnostic accuracy and reduce the misdiagnosis and missed diagnosis, it is widely used.