The Value of Transvaginal Color Doppler Ultrasonography in the Diagnosis of Endometrial Polyps_West China Medical Journal

Authors：

LUO Hong , YANG Taizhu , YANG Fan , TIAN Yu , CHEN Jiao , CHEN Xin

Ultrasound Department, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

子宫内膜息肉; 彩色多普勒超声，阴道

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【摘要】　目的　探讨经阴道彩色多普勒超声诊断子宫内膜息肉的价值，进一步提高子宫内膜息肉的诊断准确率。　方法　 2009年1月-2010年12月，对48例子宫内膜息肉患者，经阴道彩色多普勒超声发现病灶后观察其位置、大小、内部回声及病灶内部和周边的彩色血流情况，并与手术病理结果对照。　结果　经阴道彩色多普勒超声诊断子宫内膜息肉的准确率为87.5%， 2例误诊为子宫黏膜下肌瘤，3例误诊为子宫内膜增厚，1例漏诊。　结论　经阴道彩色多普勒超声对子宫内膜息肉有较高的临床诊断价值。
【Abstract】　Objective　 To investigate the value of transvaginal color doppler ultrasonography in the diagnosis of endometrial polyps and to further improve the diagnostic accuracy.　Methods　 From January 2009 to December 2010, fourty-eight patients with endometrial polyps participated in this study. Transvaginal color doppler ultrasonography was used to observe the location, size, and internal echo of the lesions, and the color flow within and around the lesions. Then, we compared all the ultrasonic features with pathological findings.　Results　 The diagnostic accuracy of transvaginal color doppler ultrasonography in the diagnosis of endometrial polyps was 87.5%. Two cases were misdiagnosed as submucosal uterine fibroids, 3 as endometrial thickening, and 1 missed.　Conclusion　 Transvaginal color doppler ultrasonography has a high clinical value in the diagnosis of endometrial polyps.

Citation： LUO Hong,YANG Taizhu,YANG Fan,TIAN Yu,CHEN Jiao,CHEN Xin. The Value of Transvaginal Color Doppler Ultrasonography in the Diagnosis of Endometrial Polyps. West China Medical Journal, 2011, 26(3): 410-412. doi: Copy

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7.	谢晴, 雷小莹, 方镇冰, 等. 阴道超声与宫腔镜在诊断子宫内膜病变中的价值比较[J]. 中国医学影像学杂志, 2002, 10(6): 477.

1. 　Arie B, Goldchmit C, Laviv Y. The malignant potential of endometrial polyps[J]. Eur Obstet Gynecol, 2004, 115(2): 206-210.
2. 　周永昌, 郭万学. 超声医学[M]. 3版. 北京: 科学技术文献出版社, 2000: 1112-1120.
3. 　李江萍, 荣雪余, 朱强. 子宫内膜息肉的阴道超声图像表现及漏诊原因分析[J]. 中国循证医学杂志, 2010, 10(5): 629-630.
4. 　何莉, 田艳. 阴道超声对绝经后出血患者子宫内膜的观察[J]. 贵州医学, 2003, 27(5): 460-461.
5. 　李华. 经阴道彩色多普勒超声检测子宫内膜良性病变的价值[J]. 中国超声诊断杂志, 2006, 7(12): 921-923.
6. 　王军燕, 李亚里, 汪龙霞. 经阴道宫腔声学造影诊断子宫内膜息肉的价值[J]. 中国医学影像学杂志, 2007, 15(3): 176-179.
7. 　谢晴, 雷小莹, 方镇冰, 等. 阴道超声与宫腔镜在诊断子宫内膜病变中的价值比较[J]. 中国医学影像学杂志, 2002, 10(6): 477.

West China Medical Journal

The Value of Transvaginal Color Doppler Ultrasonography in the Diagnosis of Endometrial Polyps

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