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目的:讨论针对子宫内膜病变患者,临床实施经阴道超声以及腹部超生的诊断对比,为日后的临床诊断提供参考与指导。方法:选择我院于2013年1月--2015年2月收治的子宫内膜病变患者130例为研究对象,患者于术前,分别进行经阴道超声和腹部超声的诊断,统计诊断结果。患者在术后,将病理诊断结果与经阴道超声和腹部超声诊断结果进行对比。结果:经过临床病理诊断,130例子宫内膜病变患者中,子宫内膜息肉患者共计65例,子宫内膜癌患者共计31例,子宫粘膜下肌瘤患者共计34例。经过临床超声诊断,经阴道超声诊断的准确率为96.2%,经腹部超声诊断的准确率为81.5%,两种诊断比较差异显著,临床有统计学意义,P<0.05。结论:通过对子宫内膜病变患者,临床实施经阴道超声诊断,可更好的诊断患者的疾病情况,并搜集较多的信息,便于进行详细的诊断,对后续的治疗而言,具有较大的积极意义。建议在今后的临床诊断中,推广应用经阴道超声诊断。
Objective: To discuss the diagnosis of endometrial lesions in patients with clinical transvaginal ultrasound and abdominal ultrasound diagnosis comparison for future clinical diagnosis provide guidance and guidance. Methods: A total of 130 patients with endometrial lesions treated in our hospital from January 2013 to February 2015 were enrolled in this study. The patients were diagnosed by transvaginal sonography and abdominal ultrasonography before operation and the results were analyzed statistically. Patients after surgery, the pathological diagnosis of transvaginal ultrasound and abdominal ultrasound results were compared. Results: Of the 130 cases of endometrial lesions, 65 cases of endometrial polyps, 31 cases of endometrial carcinoma and 34 cases of uterine submucosal fibroids were diagnosed clinically and pathologically. After clinical ultrasound diagnosis, the diagnostic accuracy of transvaginal ultrasound was 96.2% and the accuracy of transabdominal ultrasound diagnosis was 81.5%. There was significant difference between the two kinds of diagnosis, and the clinical significance was statistically significant (P <0.05). Conclusion: Transvaginal ultrasonic diagnosis of patients with endometrial lesions can better diagnose the patient’s disease, and collect more information to facilitate detailed diagnosis, for the follow-up treatment, with a larger The positive meaning. Proposed in the future clinical diagnosis, the promotion of transvaginal ultrasound diagnosis.