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目的:探讨单纯经阴道超声探查和经阴道超声下生理盐水宫腔造影术对不孕症患者子宫内膜息肉的诊断价值及不孕症患者中子宫内膜息肉的发病率。方法:对1200例各种原因的不孕症患者常规在卵泡早期经阴道B超扫查盆腔,对子宫内膜回声强弱不均匀,有局限性回声增强或减弱者,排卵期复查,并在严格消毒下行宫腔置管生理盐水造影术。阴道超声诊断为子宫内膜息肉者,行宫腔镜检查及息肉摘除术,并行病理学切片检查。结果:1200例不孕症患者中,阴道超声诊断内膜息肉104例,超声造影诊断87例,以宫腔镜为诊断标准,阴道超声诊断符合率83.65%,超声造影诊断符合率93.55%,二者差异有统计学显著性。子宫内膜息肉发生率7.75%,其中不明原因者67例,占内膜息肉的72%。结论:不孕症患者中子宫内膜息肉发生率不可忽视,阴道超声结合宫腔造影有利于子宫内膜息肉的诊断。
Objective: To investigate the diagnostic value of simple transvaginal ultrasonography and transvaginal sonography for uterine endometrial polyps in infertile patients and the incidence of endometrial polyps in infertile patients. Methods: 1200 cases of infertility patients with various reasons in the early follicular vaginal ultrasound B-scan of the endometrial echo on the strength of the uneven, limited echoes were enhanced or weakened, ovulation re-examination, and in Strict disinfection down the uterine catheter physiological saline imaging. Vaginal ultrasound diagnosis of endometrial polyps, hysteroscopy and polyp excision, parallel pathology biopsy. Results: In 1200 cases of infertility, 104 cases of endometrial polyps were diagnosed by vaginal ultrasonography and 87 cases were diagnosed by contrast-enhanced ultrasound. According to the diagnostic criteria of hysteroscopy, the coincidence rate of vaginal ultrasonography was 83.65%, the accuracy of contrast-enhanced ultrasound was 93.55% The difference was statistically significant. The incidence of endometrial polyps 7.75%, of which 67 cases of unknown reason, accounting for 72% of endometrial polyps. Conclusion: The incidence of endometrial polyps in infertile patients can not be neglected. Vaginal ultrasonography combined with uterine angiography is helpful for the diagnosis of endometrial polyps.