经阴道多普勒超声与病理检查在绝经后子宫内膜恶性病变诊断中的对比分析(科技核心).docVIP

经阴道多普勒超声与病理检查在绝经后子宫内膜恶性病变诊断中的对比分析 【摘要】 目的 探究经阴道多普勒超声在诊断绝经后子宫内膜恶性病变的应用效果。方法 对86例绝经后子宫内膜病变患者的经阴道多普勒超声结果与病理检查结果进行对比分析，并比较良、恶性病变患者的内膜厚度、子宫动脉血流参数及内膜内动脉血流参数，观察良、恶性病变患者的血流显像的差异。结果 经阴道多普勒超声诊断子宫内膜病变与病理检查结果的符合率为89.53%，灵敏度为80.00%，特异度为91.55%。恶性病变组的内膜厚度11.31±2.52mm，大于良性病变组8.62±1.91mm），差异有统计学意义（P 0.05）恶性病变组子宫动脉PSV值及RI值就子宫内膜内动脉血流参数来看，恶性病变组的PSVen值恶性病变组RIen值及血流显示率0.37±0.06、86.67%，0.46±0.11、23.94%，两组比较差异有统计学意义（P 0.05）。结论 经阴道多普勒超声绝经后子宫内膜恶性病变 【关键词】经阴道多普勒超声；病理检查；子宫内膜恶性病变 Comparative analysis of transvaginal doppler ultrasound and pathological examination in the diagnosis of postmenopausal endometrial lesions[Abstract] Objective Compare with the pathological examination, to explore the application effect of transvaginal doppler ultrasound in the diagnosis of postmenopausal endometrial lesions. Method Compared and analyzed the results of transvaginal doppler ultrasound and pathological examination in 86 cases of postmenopausal endometrial lesions. And compared the endometrial thickness, uterine artery blood flow parameters and internal carotid artery blood flow parameters of patients with benign lesions and malignant lesions. To observed the difference of blood flow imaging of patients with benign lesions and malignant lesions. Result The rate of the diagnosis of endometrial lesions and pathological examination results by transvaginal doppler ultrasound was 89.53%, the sensitivity was 80%, and the specificity was 91.55%. The endometrial thickness of malignant lesions group was 11.31±2.52mm, which was larger than that of benign lesions group 8.62±1.91mm , and the difference was statistically significant P 0.05 . The uterine artery PSV value and RI value of malignant lesion group were 22.36±1.76cm/s, 0.76±0.19, and the benign lesions group were 21.81±1.62cm/s, 0.83±0.25, and there were no significant differences between the two groups P 0.05 . On endometrial artery blood flow parameters,the malignant lesions group and benign lesions group of the PSVen values were 13.29±0.68cm/s, 13.25±0.