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目的探讨经阴道彩色多普勒超声在子宫内膜病变中的诊断价值。方法对190例子宫内膜疾病患者的多普勒超声结果进行回顾性分析,观察患者子宫在超声下的特征表现(功能层厚度、血流、回声等)。结果将超声诊断结果和病理结果进行对比,超声诊断结果的准确率均在95%以上。子宫良性病变的血流阻力较大,恶性病变的血流较为丰富,血流阻力指数(RI)较小。子宫内膜病变的RI值经过比较差异具有统计学意义(P<0.05)。结论经阴道彩色多普勒超声诊断子宫内膜病的准确率高,并且对子宫内膜的良恶性病变有较好的区分,值得在临床上推广。
Objective To investigate the diagnostic value of transvaginal color Doppler ultrasonography in endometrial lesions. Methods The results of Doppler ultrasound in 190 cases of endometrial diseases were analyzed retrospectively to observe the features of the uterus in patients under ultrasound (functional layer thickness, blood flow, echo, etc. Results Ultrasound results and pathological results were compared, the diagnostic accuracy of ultrasound results were above 95%. Uterine benign lesions of the larger blood flow resistance, malignant lesions more abundant blood flow, blood flow resistance index (RI) smaller. The RI value of endometrial lesions had statistical significance after comparison (P <0.05). Conclusion Transvaginal color Doppler ultrasound diagnosis of endometrial disease with high accuracy, and the endometrial benign and malignant lesions have a better distinction, it is worth in the clinical promotion.