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刘春陵 欧 珏 易永忠 林晓清 吴建云.经阴道彩色多普勒超声诊断子宫内膜息肉的效果和检出率观察[J].中国现代医生,2021,59(27):127-130+封三
经阴道彩色多普勒超声诊断子宫内膜息肉的效果和检出率观察
Observation on the effect of transvaginal color doppler ultrasonography in the diagnosis of endometrial polyps and its impacts on the detection rate
  
DOI:
中文关键词:  子宫内膜息肉  经阴道彩色多普勒超声  经腹部彩色多普勒超声  检出率  CDFI 血流信号  病灶
英文关键词:Endometrial polyps  Transvaginal color doppler ultrasonography  Transabdominal color doppler ultrasonography  Detection rate  Blood signal by color doppler flow imaging  Focus of infection
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刘春陵 欧 珏 易永忠 林晓清 吴建云 江西省萍乡市人民医院超声科江西萍乡 337000 
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中文摘要:
      目的 探讨经阴道彩色多普勒超声在子宫内膜息肉诊断中的应用效果及其对检出率的影响。方法 选取2019 年8 月至2020 年8 月本院接收的70例疑似子宫内膜息肉患者,所有患者分别实施经阴道彩色多普勒超声与经腹部彩色多普勒超声检查,以病理诊断结果为金标准,对检查结果进行对比分析。结果 诊断准确度、敏感度和特异度方面,经阴道超声检查分别是95.71%、95.83%和95.45%,经腹部超声分别是82.85%、79.17%和90.91%,经阴道超声诊断准确度及敏感度比经腹部超声检查高,差异有统计学意义(P<0.05);而特异度方面,两种检查方法比较,差异无统计学意义(P>0.05)。经阴道彩色多普勒超声检查,0 级、Ⅰ级、Ⅱ级、Ⅲ级分别有2例、59例、6例、0例;经腹部彩色多普勒超声检查,0 级、Ⅰ级、Ⅱ级、Ⅲ级分别有15例、43例、0例、0例,两种检查方法比较,差异有统计学意义(P<0.05)。结论 子宫内膜息肉诊断过程中,经阴道彩色多普勒超声比经腹部彩色多普勒超声优,经阴道彩色多普勒超声具有操作简单、方便、无创等特点,其能够为临床诊治提供数据参考,以便更好地为患者提供治疗方法,确保良好的治疗效果,值得临床进一步采纳与推广。
英文摘要:
      Objective To investigate the application effect of transvaginal color doppler ultrasonography in the diagnosis of endometrial polyps and its impacts on the detection rate.Methods In this research,a total of 70 patients with suspected endometrial polyps were admitted to our hospital from August 2019 to August 2020.All patients were examined by transvaginal color doppler ultrasonography and transabdominal color doppler ultrasonography,respectively.The pathological diagnosis results were taken as the gold standard,and the examination results were compared and analyzed.Results The diagnostic accuracy,sensitivity and specificity of transvaginal ultrasonography were 95.71%,95.83%and 95.45%,while those of transabdominal ultrasonography were 82.85%,79.17% and 90.91% respectively.The diagnostic accuracy and sensitivity of transvaginal ultrasonography were higher than those of transabdominal ultrasonogra phy,with statistically significant difference (P<0.05).However,in terms of specificity,there was little difference between the two examinations (P>0.05).Transvaginal color Doppler ultrasonography showed that there were 2 cases,59 cases,6 cases and 0 cases of grade 0,gradeⅠ,gradeⅡ,and grade Ⅲ,respectively.While transabdominal color Doppler ultrasonography showed that there were 15 cases,43 cases,0 case and 0 case of grade 0,gradeⅠ,gradeⅡand grade Ⅲrespectively,with statistically significant differences between the two methods (P<0.05).Conclusion In the diagnosis of endometrial polyps,transvaginal color doppler ultrasonography is superior to transabdominal color doppler ultrasonography.Transvaginal color doppler ultrasonography has the features of simple operation,convenience and non-invasive,which can provide data reference for clinical diagnosis and treatment,so as to provide better treatment methods for patients and ensure good therapeutic efficacy,which is worthy of further clinical adoption and promotion.
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