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1、經(jīng)陰道超聲檢查子宮內(nèi)膜息肉的誤診分析【摘要】目的:探討分析子宮內(nèi)膜息肉的超聲聲像圖特征及誤診原因,以提高超聲對子宮內(nèi)膜息肉的診斷準(zhǔn)確率。方法:回顧性分析100例2015年1月-2016年1月筆者所在醫(yī)院術(shù)前超聲診斷為子宮內(nèi)膜息肉的手術(shù)患者100例,對照病理結(jié)果,總結(jié)超聲聲像圖特征,并分析其誤診的原因。結(jié)果:100例患者中,病理診斷為內(nèi)膜息肉81例,超聲符合率為81%;誤診19例,誤診率為19%,其中16例誤診為子宮內(nèi)膜增生,2例誤診為子宮黏膜下肌瘤,1例誤診為子宮內(nèi)膜癌變。誤診原因主要為:(1)超
2、聲聲像圖特征不典型;(2)合并有其他疾病;(3)檢查時(shí)期的影響;(4)受宮內(nèi)節(jié)育器的影響。結(jié)論:經(jīng)陰道超聲檢查方便,快捷,對息肉檢出率高,但仍存在誤診,應(yīng)盡量排除避免誤診的一些原因,選擇合適的時(shí)期,詳細(xì)了解病史,仔細(xì)辨別。【關(guān)鍵詞】超聲檢查;經(jīng)陰道;子宮內(nèi)膜息肉;誤診中圖分類號R445.1文獻(xiàn)標(biāo)識碼B文章編號1674-6805(2016)29-0068-03AnalysisofMisdiagnosisbyTransvaginalUltrasonographyinDiagnosisofEndomet
3、rialPolyps/HUMing-zi,SHUIXu-juan,YUCai-cha.//ChineseandForeignMedicalResearch,2016,14(29):68-70【Abstract】Objective:Toevaluatethesonographicfeaturesandmisdiagnosisreasonsofendometrialpolyps,andtoimprovethediagnosticaccuracyoftheendometrialpolyps.Method
4、:FromJanuary2015toJanuary2016,100casesofpreoperativeultrasounddiagnosisofendometrialpolypsinourhospitalwereretrospectiveanalyzed,thepathologicalresultswerecompared,thesonographicfeaturesandanalysisreasonsofmisdiagnosisweresummarized.Result:In100patien
5、ts,thepathologicaldiagnosisofendometrialpolypsin81cases,theaccuracyrateofultrasoundwas81%.19casesweremisdiagnosed,themisdiagnosisratewas19%,which16casesweremisdiagnosedasendometrialhyperplasia,2casesweremisdiagnosedassubmucosalmyoma,1casewasmisdiagnos
6、isasendometrialcarcinogenesis.Themaincausesofmisdiagnosiswereasfollows:(1)theultrasonicimagecharacteristic!wasnottypical;(2)combinedwithotherdiseases;(3)theinfluenceoftheexaminationperiod;(4)theinfluenceoftheintrauterinedevice.Conclusion:Transvaginalu
7、ltrasoundexaminationisconvenientandrapid,andthedetectionrateishigh,buttherearestillmisdiagnosis,shalltrytoavoidsomeofthereasonsformisdiagnosis,choosetheappropriateperiod,adetailedunderstandingofthehistory,carefullyidentify.【Keywords]Ultrasonography;Tr
8、ansvaginal;Endometrialpolyps;MisdiagnosisFirst-author'saddress:WenzhouPeople’sHospital,Wenzhou325000,Chinadoi:10.14033/j.cnki.cfmr.2016.29.036子宮內(nèi)膜息肉(endometrialpolyps,EP)是婦科最為常見的疾病之一,發(fā)病率較高,可發(fā)生于任何年齡,尤其以育齡期婦女多見。據(jù)臨床報(bào)道顯示,子宮內(nèi)膜息肉發(fā)生于圍絕經(jīng)期而癌變率可高達(dá)10%[1]