经阴道超声和经腹部超声诊断子宫内膜病变的临床效果比较.docVIP

经阴道超声和经腹部超声诊断子宫内膜病变的临床效果比较 [摘要] 目的 比较分析经阴道超声和经腹部超声诊断子宫内膜病变的临床效果。方法 回顾性总结在我院用超声诊断子宫内膜病变的患者40例资料，按照诊断方法不同进行分组：选择经阴道超声诊断的20例患者为观察一组，选择经腹部超声诊断的20例患者为观察二组，所有患者超声诊断结果与临床诊断结果进行比较，计算诊断准确率，并用统计学方法比较两组患者准确率是否存在显著性差异。 结果 观察一组子宫内膜息肉6例，子宫内膜增厚7例，子宫内膜癌1例，子宫黏膜下肌瘤2例，异常回声现象4例，诊断准确率为95%，明显高于观察二组患者诊断准确率（P 0.05）。结论 经阴道超声诊断子宫内膜病变具有更优秀的临床意义。 [关键词] 经阴道超声；经腹部超声；子宫内膜病变；比较 [中图分类号] R445.1 [文献标识码] B [文章编号] 2095-0616（2013）13-103-02 Comparison of the clinical effects of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of endometrial lesions WANG Xiuling DE Wenjie KUER Mila WATI Bieke QIN Lizhen Functional Division，Peoples Hospital of Burqin，Burqin 836600，China [Abstract] Objective To compare and analysis the clinical effects of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of endometrial lesions. Methods 40 cases patients in our hospital were diagnosed with ultrasound diagnosis of endometrial lesions， according to the different diagnostic methods were divided into three groups， comparing the results of ultrasonic diagnosis and clinical diagnosis results， calculation accuracy of diagnosis， and there is a significant difference between two groups were compared by statistical method of accuracy. Results The observation group of 6 cases endometrial polyps， endometrial thickening in 7 cases， 1 cases of endometrial carcinoma， 2 cases of submucosal myoma of uterus， 4 cases with abnormal echo phenomenon， the diagnostic accuracy was 95%， significantly higher than the observation accuracy of two groups of patients diagnosis（P 0.05）. Conclusion Clinical significance of transvaginal ultrasound has more excellent in the diagnosis of endometrial lesions. [Key words] Transvaginal ultrasound；Abdominal ultrasound；Uterine endometrial lesion；Comparison 子宫的病变现象在妇科临床上是比较常见的一种病变现象，例如子宫炎症、子宫肿瘤以及各种类型的子宫损伤等现象，患者子宫出现病变时，临床表现大多为月经量异常增大，月经周期不规律，甚至出现不规则的阴道出血现象[1]，严重影响患者的身心健康，对子宫病变尽早的诊断和治疗对于患者的恢复具有积极的意义，随着超声技术的发展，用超声技术诊断妇科子宫类病变具有快速准确的特点[2]，为了比较分析经阴道超声和经腹部超声诊断子宫内膜病变的临床效果，笔者回顾性总结在我