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目的探讨经阴道超声对宫腔内膜异常回声不孕症患者的诊断价值。方法回顾性分析不孕症门诊经阴道超声监测发现子宫内膜异常回声并进行纤维宫腔镜检查的331例患者的临床资料。结果超声监测发现子宫内膜异常的331例患者,宫腔镜确诊内膜病变282例,阴道超声监测诊断内膜病变的正确率为85.2%。结论阴道超声监测可作为子宫内膜病变的初筛方法,发现病变后应及早做宫腔镜检查以进一步确诊。
Objective To investigate the diagnostic value of transvaginal sonography in patients with abnormal uterine endometrial echo. Methods The clinical data of 331 patients with abnormal endometrial echo and fiber hysteroscopy were retrospectively analyzed. Results Ultrasound monitoring found that endometrial abnormalities in 331 patients, endometrial lesions confirmed by hysteroscopy in 282 cases, the diagnosis of endometrial lesions by vaginal ultrasound was correct 85.2%. Conclusion Vaginal ultrasound monitoring can be used as a screening method of endometrial lesions, hysteroscopy should be done as soon as possible after the lesion was found to further confirm the diagnosis.