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1、超聲及宮腔鏡聯(lián)合診斷子宮內(nèi)膜息肉臨床應(yīng)用【摘要】目的評(píng)價(jià)超聲與宮腔鏡聯(lián)合診斷子宮內(nèi)膜息肉的臨床應(yīng)用。方法回顧性分析2003-2007年在本院就診經(jīng)病理確診為子宮內(nèi)膜息肉的76例患者資料,全部病例在宮腔鏡手術(shù)前均行經(jīng)陰道超聲檢查和超聲與宮腔鏡聯(lián)合檢查,比較經(jīng)陰道超聲和超聲與宮腔鏡聯(lián)合檢查對(duì)子宮內(nèi)膜息肉的檢出率,分析子宮內(nèi)膜息肉的經(jīng)陰道超聲聲像圖、超聲與宮腔鏡聯(lián)合檢查的鏡下特征和兩種檢查方法的誤診原因,評(píng)價(jià)和探討超聲與宮腔鏡聯(lián)合檢查對(duì)子宮內(nèi)膜息肉的診斷價(jià)值。結(jié)果病理證實(shí)的子宮內(nèi)膜息肉76例,經(jīng)陰道超聲檢出率為61.84%,超聲與宮腔鏡聯(lián)合檢出率為93.42
2、%,兩種方法檢出率比較有顯著性差異(P<0.01)。經(jīng)陰道超聲聲像圖表現(xiàn)中高回聲團(tuán)塊81.58%、低回聲18.42%,基底部顯示血流信號(hào)22.37%、基底部未見血流信號(hào)77.63%,全部病例息肉內(nèi)均未見血流信號(hào),誤診病例24例。超聲與宮腔鏡聯(lián)合檢查鏡下表現(xiàn)息肉呈卵圓形或圓型,顏色鮮紅色,表面光滑,有時(shí)可見微血管網(wǎng)紋,部分息肉可隨膨?qū)m液飄動(dòng)。誤診病例5例。結(jié)論12經(jīng)陰道超聲無(wú)創(chuàng)、操作簡(jiǎn)便,可作為子宮內(nèi)膜息肉普查的首選方法,但漏診率高;超聲與宮腔鏡聯(lián)合檢查診斷符合率高,結(jié)合病理學(xué)檢查,是診斷子宮內(nèi)膜息肉的金標(biāo)準(zhǔn)。術(shù)前對(duì)每個(gè)患者實(shí)行超聲與宮腔鏡聯(lián)合檢查,為提
3、高手術(shù)成功率提供可靠依據(jù)。?【關(guān)鍵詞】子宮內(nèi)膜息肉;超聲與宮腔鏡;經(jīng)陰道超聲TheclinicalapplicationofultrasoundandhysteroscopyinthediagnosisofendometrialpolypsHUANGXue-lan,GUODuan-ying,CHENHua-jin.DepartmentofUltrasound,ShenzhenLonggangCentralHospital(ShenzhenNO.9People’sHospital),Guangdong518116,China【Abstract】Objec
4、tiveToevaluatetheclinicalapplicationofultrasoundandhysteroscopyinthediagnosisofendometrialpolyps.MethodsAretrospectiveanalysisof76casesdiagnosedbythepathologicaldiagnosisofendometrialpolypsfrom2003to2007inourhospitalwasadopted,allofwhichwereexaminedbytransvaginalultrasoundexamin
5、ationandultrasoundinterventionhysteroscopybeforeoperation.Thedetectionrateofendometrialpolypsinthesetwomethodswascompared.Thecharacteristicsandmisdiagnosisofthesetwowayswereanalyzed.Thediagnosticvalueofultrasoundinterventionhysteroscopywas12estimatedandexplored.Results76caseswer
6、econfirmedofendometrialpolypsbypathology.Thedetectionrateofwhichwas61.84%bytransvaginalultrasound,and93.42%byultrasoundinterventionhysteroscopy.Thedetectionrateofthetwomethodsareofsignificantdifferent(P<0.01).81.58%oftransvaginalUltrasonographicshowedechoclumpshigh,whilel8.42%sh
7、owedlowecho.22.37%showedbloodflowatthebottom,while77.63showednobloodflowatthebottom.Allthepolypsinbothcaseshadnobloodflowsignalsinside.24casesweremisdiagnosed.ConclusionPolypsundertheendoscopicultrasoundinterventionhysteroscopywereovalorcircular,brightred,smooth.Sometimesmicrova
8、scularnetcouldbeseenandsomepolypscouldbeflutter