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目的探讨经阴道超声和超声宫腔造影在子宫内膜息肉患者中的诊断价值。方法选取2014年12月1日至2015年12月1日在沈阳市妇婴医院疑诊为子宫内膜息肉的患者100例为研究对象,分别进行常规经阴道超声和超声宫腔造影检查,根据术后病理检查结果,计算并比较常规经阴道超声和超声宫腔造影的诊断灵敏度、特异度及正确率。结果本组100例患者中,子宫内膜息肉76例,非子宫内膜息肉24例。经阴道超声的诊断灵敏度、特异度及正确率分别为69.7%、62.5%、68.0%;超声宫腔造影的诊断灵敏度、特异度及正确率分别为93.4%、79.2%、98.0%;经阴道超声宫腔造影的诊断灵敏度、特异度及正确率均显著高于经阴道超声,差异均有统计学意义(均P<0.05)。结论临床诊断子宫内膜息肉应首选经阴道超声宮腔造影,其具有无创、安全可靠、精准快捷等优势,同时能够提高诊断敏感度和准确度,降低漏诊率,为临床诊断提供了准确信息。
Objective To investigate the diagnostic value of transvaginal sonography and echography in patients with endometrial polyps. Methods A total of 100 cases of endometrial polyps suspected to be endometrial polyps in Shenyang Maternal and Child Hospital from December 1, 2014 to December 1, 2015 were enrolled in this study. The patients underwent routine transvaginal sonography and echography respectively, Postoperative pathological examination results, calculate and compare the diagnostic sensitivity, specificity and accuracy of routine transvaginal sonography and echography. Results The group of 100 patients, 76 cases of endometrial polyps, non-endometrial polyps in 24 cases. The sensitivity, specificity and accuracy of transvaginal sonography were 69.7%, 62.5% and 68.0% respectively. The diagnostic sensitivity, specificity and correct rate of transvaginal sonography were 93.4%, 79.2% and 98.0%, respectively. Transvaginal ultrasonography The diagnostic sensitivity, specificity and correct rate of uterine angiography were significantly higher than those of transvaginal ultrasound, the differences were statistically significant (all P <0.05). Conclusions Transvaginal sonography should be the first choice of clinical diagnosis of endometrial polyps. It has the advantages of noninvasive, safe and reliable, accurate and quick. It can also improve the diagnostic sensitivity and accuracy, reduce the rate of misdiagnosis and provide accurate information for clinical diagnosis.