摘要
Abstract
Objective To probe sonographic features of typical endometrialpolyp and atypical endometrialpolyp and to analyze countermeasures for missed diagnosis and misdiagnosis. Methods Clinical data of 41 patients diagnosed as endometrialpolyp were collected and pathological, clinical and ultrasound diagnosis results were retrospectively analyzed. Results ( 1 ) 18 cases ( 39. 1% ) had positive diagnosis with typical sonographic features, and the accordance rate was 100. 0%. The sonographic features were: normal or proliferated hyper - echo lesions could be seen in endometrial location. Blood flow signal could be detected within endometrialpolyp. ( 2 ) 18 cases ( 39. 1% ) had probability diagnosis with atypical sonographic features, and the accordance rate was 100. 0%. The sonographic features were: endometrium ( with or without incrassation ) had uneven echoes as well as faveolate changes, anterior and posterior endometrium had different wall thickness, uterine cavity had space occupying lesion ( > 20 mm ), uterine cavity had fluid as well as high echo lesions. ( 3 ) Missed diagnosis and misdiagnosis by ultrasound accounted for 21. 7% (10/46), mainly due to myoma, myoma prolapsing into the neck of uterus, abdominal ultradouns, uterine cavity contraceptive ring and lack of experience. Conclusion Transvaginal or abdominal ultrasound is a valuable imaging method for diagnosing endometrialpolyp, especially the endometrialpolyp with typical and atypical sonographic features. The method has great clinical application value.关键词
内膜息肉/超声检查,多普勒,彩色/病理学,临床/宫腔镜检查Key words
Endometrialpolyp/Ultrasonography, Doppler, color/Pathology, clinical/Hysteroscopy分类
医药卫生
