目的:评价宫腔声学造影(SHG)对子宫内膜息肉的诊断价值。方法:对临床拟诊宫内膜息肉的76例患者进行TVS、SHG及宫腔镜手术病理检查,并对结果进行分析。结果:以手术病理结果作为诊断金标准,内膜息肉48例,黏膜下肌瘤9例,内膜增生10例,宫腔内机化血凝块3例,正常内膜6例。SHG对子宫内膜息肉诊断的准确性为93.4%,敏感性为93.7%,特异性为92.8%。TVS对子宫内膜息肉诊断的准确性为59.2%,敏感性为81.2%,特异性为21.4%。两种方法对内膜息肉的诊断准确率比较有显著差异(χ2=5.45,P=0.019)。结论:宫腔声学造影准确率高,是诊断子宫内膜息肉的可靠方法。
Citation:
LIAO Lin,HE Min,YANG Taizhu.. Clinical Value of Sonohysterography in Diagnosis of Endometrial Polyps. West China Medical Journal, 2009, 24(2): 331-333. doi:
Copy
1. |
Laifer-Narin S,Ragarendra N,Parmenter EK,et al.Falsemormal appearance of the endometrium on conventional transvaginal Sonography:comparison whith saline hysterosonography[J].AJR,2002,198(1):129-133..
|
2. |
Baldwin MR,Dudick KM,Corman B,et al.Focal intracavitary masses recoginized with the hyperechoic line sign at endovaginal US and characterized with hysterosonography[J]Radicgraphics,1999,19:927-935..
|
3. |
MartinezPerez O,PerezMedina T,BajoArenas J.Ultrasonography of endometrial polyps[J].Ultrasound Rev Obstet Gyneco,l 2003,3:43-50..
|
4. |
邓凤平,袁帆,王洁婷,等.经阴道超声对子宫内膜息肉的诊断价值[J].实用医学技术杂志,2006,13(9):143-1436..
|
5. |
徐勇,蔡爱露,杨泽宇,等.宫腔声学造影与经阴道超声诊断子宫内膜息肉的ROC曲线分析[J].中国临床医学影像杂志,2006,17(8):455-457..
|
6. |
Pokharel HP,Bhatla N,Kriplani A,et al.Evaluation of endometrial changes and p53 expression in tamoxifen treated women:comparison of various methods[J].Kathmandu Univ Med J(KUMJ),2006,4(2):145-51..
|
- 1. Laifer-Narin S,Ragarendra N,Parmenter EK,et al.Falsemormal appearance of the endometrium on conventional transvaginal Sonography:comparison whith saline hysterosonography[J].AJR,2002,198(1):129-133..
- 2. Baldwin MR,Dudick KM,Corman B,et al.Focal intracavitary masses recoginized with the hyperechoic line sign at endovaginal US and characterized with hysterosonography[J]Radicgraphics,1999,19:927-935..
- 3. MartinezPerez O,PerezMedina T,BajoArenas J.Ultrasonography of endometrial polyps[J].Ultrasound Rev Obstet Gyneco,l 2003,3:43-50..
- 4. 邓凤平,袁帆,王洁婷,等.经阴道超声对子宫内膜息肉的诊断价值[J].实用医学技术杂志,2006,13(9):143-1436..
- 5. 徐勇,蔡爱露,杨泽宇,等.宫腔声学造影与经阴道超声诊断子宫内膜息肉的ROC曲线分析[J].中国临床医学影像杂志,2006,17(8):455-457..
- 6. Pokharel HP,Bhatla N,Kriplani A,et al.Evaluation of endometrial changes and p53 expression in tamoxifen treated women:comparison of various methods[J].Kathmandu Univ Med J(KUMJ),2006,4(2):145-51..