• 四川大學華西附屬二醫(yī)院超聲科,四川成都 610041;

目的:評價宮腔聲學造影(SHG)對子宮內(nèi)膜息肉的診斷價值。方法:對臨床擬診宮內(nèi)膜息肉的76例患者進行TVS、SHG及宮腔鏡手術(shù)病理檢查,并對結(jié)果進行分析。結(jié)果:以手術(shù)病理結(jié)果作為診斷金標準,內(nèi)膜息肉48例,黏膜下肌瘤9例,內(nèi)膜增生10例,宮腔內(nèi)機化血凝塊3例,正常內(nèi)膜6例。SHG對子宮內(nèi)膜息肉診斷的準確性為93.4%,敏感性為93.7%,特異性為92.8%。TVS對子宮內(nèi)膜息肉診斷的準確性為59.2%,敏感性為81.2%,特異性為21.4%。兩種方法對內(nèi)膜息肉的診斷準確率比較有顯著差異(χ2=5.45,P=0.019)。結(jié)論:宮腔聲學造影準確率高,是診斷子宮內(nèi)膜息肉的可靠方法。

引用本文: 廖林,何敏,楊太珠. 宮腔聲學造影診斷子宮內(nèi)膜息肉的價值. 華西醫(yī)學, 2009, 24(2): 331-333. doi: 復制

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. MartinezPerez O,PerezMedina T,BajoArenas J.Ultrasonography of endometrial polyps[J].Ultrasound Rev Obstet Gyneco,l 2003,3:43-50..
4. 鄧鳳平,袁帆,王潔婷,等.經(jīng)陰道超聲對子宮內(nèi)膜息肉的診斷價值[J].實用醫(yī)學技術(shù)雜志,2006,13(9):143-1436..
5. 徐勇,蔡愛露,楊澤宇,等.宮腔聲學造影與經(jīng)陰道超聲診斷子宮內(nèi)膜息肉的ROC曲線分析[J].中國臨床醫(yī)學影像雜志,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. 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. 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. 3. MartinezPerez O,PerezMedina T,BajoArenas J.Ultrasonography of endometrial polyps[J].Ultrasound Rev Obstet Gyneco,l 2003,3:43-50..
  4. 4. 鄧鳳平,袁帆,王潔婷,等.經(jīng)陰道超聲對子宮內(nèi)膜息肉的診斷價值[J].實用醫(yī)學技術(shù)雜志,2006,13(9):143-1436..
  5. 5. 徐勇,蔡愛露,楊澤宇,等.宮腔聲學造影與經(jīng)陰道超聲診斷子宮內(nèi)膜息肉的ROC曲線分析[J].中國臨床醫(yī)學影像雜志,2006,17(8):455-457..
  6. 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..