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目的比较经阴道超声(TVS)造影和多层螺旋CT(MSCT)增强扫描对于子宫内膜疾病的诊断价值。方法:收集2012年10月-2014年2月在该院收治的子宫内膜疾病患者60例,所有患者均行TVS造影和MSCT增强扫描检查,病理结果均经手术或诊断性刮宫术确定,比较两者的诊断符合率。结果:60例患者包括子宫内膜增生21例,子宫内膜息肉12例,黏膜下肌瘤15例和子宫内膜癌12例,以病理结果为金标准,对于子宫内膜增生和黏膜下肌瘤的诊断,两者的符合率无统计学差异(P>0.05),对于子宫内膜息肉和子宫内膜癌的诊断,两者的符合率有统计学差异(P<0.05)。结论:经阴道超声造影可以实现子宫内膜病变的腔内显影,诊断符合率高,值得临床推广。
Objective To compare the diagnostic value of transvaginal ultrasonography (TVS) and multi-slice spiral CT (MSCT) in the diagnosis of endometrial diseases. Methods: Sixty patients with endometrial disease who were treated in our hospital from October 2012 to February 2014 were enrolled in this study. All patients underwent TVS and MSCT enhanced scan. The pathological findings were confirmed by surgery or diagnostic curettage. The diagnostic accuracy of both. Results: Sixty patients including 21 cases of endometrial hyperplasia, 12 cases of endometrial polyps, 15 cases of submucosal fibroids and 12 cases of endometrial carcinoma. The pathological results were taken as the gold standard, and for endometrial hyperplasia and submucosa There was no significant difference between the two groups (P> 0.05). The coincidence rates of endometrial polyps and endometrial carcinoma were statistically different (P <0.05). Conclusion: Transvaginal ultrasonography can achieve the endometrial lesion in the cavity imaging, diagnosis of high coincidence rate, worthy of clinical promotion.