彩色多普勒超声和宫腔镜对子宫内膜息肉诊断价值的研究.docxVIP

彩色多普勒超声和宫腔镜对子宫内膜息肉诊断价值的研究 　　[摘要] 目的 探讨彩色多普勒超声与宫腔镜诊断子宫内膜息肉的价值，为临床诊断子宫内膜息肉提供依据。 方法 方便选择XX年1月―XX年1月期间该院妇科门诊检查的患者1 343例，患者先行彩色多普勒超声，后行宫腔镜及诊刮并送病检，彩色多普勒超声和宫腔镜的诊断结果做对比。 结果 子宫内膜息肉病理诊断430例，彩色多普勒超声诊断340例，诊断率为%，宫腔镜诊断418 例，诊断率为%，彩色多普勒超声与宫腔镜诊断子宫内膜息肉的阳性率比较，差异有统计学意义。 结论 宫腔镜诊断子宫内膜息肉符合率高于彩色多普勒超声，较直观准确，操作较难繁锁。彩色多普勒超声漏诊率高，但无痛苦，无创伤，简单安全是子宫内膜息肉筛查的好方法。　　[关键词] 彩色多普勒超声；宫腔镜；子宫内膜息肉　　[中图分类号] R5 [文献标识码] A [文章编号] 1674--0187-03　　[Abstract] Objective This paper tries to investigate the value of color Doppler ultrasound and hysteroscopy in the diagnosis of endometrial polyps， and to provide a basis for the clinical diagnosis of endometrial polyps. Methods 1 343 cases of gynecological outpatient examination in this hospital from January XX to January XX were convenient selected. Color Doppler ultrasound was performed first， then hysteroscopy and curettage were sent to the patients. The diagnostic results of color Doppler ultrasound and hysteroscopy were compared. Results Pathological diagnosis of 430 cases of endometrial polyps， color doppler ultrasound diagnosis of 340 cases， diagnosis rate was %， hysteroscopy in the diagnosis of 418 cases， diagnosis rate was %， color Doppler ultrasound compared with positive predictive value of hysteroscopy in the diagnosis of endometrial polyps，the difference was statistically significant . Conclusion The coincidence rate of endometrial polyps diagnosed by hysteroscopy is higher than that of color Doppler ultrasound. It is more intuitionistic and accurate， and it is difficult to operate the complex lock. Color Doppler ultrasound has a high rate of missed diagnosis， but no pain， no trauma， is a good method for screening endometrium polyps， simple and safe.　　[Key words] Color Doppler ultrasound； Hysteroscopy； Endometrium polyp　　子宫内膜息肉是炎症等因素的作用而形成，由内膜腺体及间质组成的肿块[1]，子宫内膜息肉是子宫内膜息肉样局灶性增生，约20%为多发性，好发于宫角及宫底部，也可长出宫颈内口外，是常见的宫腔良性疾病之一[2]。该病可发于青春期后任何年龄，常见于35岁以上的妇女。单发较小的子宫内膜息肉常无临床症状，多发性弥漫型常见经期延长，月经淋漓不尽，月经量多，或经间期出血，此与子宫内膜面积增加及内膜过度增生有关[3]。较大息肉或突入颈管的息肉易继发感染，坏死，引起不规则出血并伴恶臭的血