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子宫内膜病变超声声像图特征及鉴别诊断分析

辜晓蓉 王胜华 刘成芳

中国医学装备2017,Vol.14Issue(8):73-75,3.
中国医学装备2017,Vol.14Issue(8):73-75,3.DOI:10.3969/J.ISSN.1672-8270.2017.08.020

子宫内膜病变超声声像图特征及鉴别诊断分析

Analysis of features and differential diagnosis of ultrasonic image for endometrial lesions

辜晓蓉 1王胜华 2刘成芳2

作者信息

  • 1. 武汉大学基础医学院 湖北 武汉 430072
  • 2. 恩施市中心医院功能科 湖北 恩施 445000
  • 折叠

摘要

Abstract

Objective:To investigate the analysis of features and differential diagnosis of ultrasonic image for patient with endometrial lesions.Methods: The imaging data of 80 patients with endometrial lesions were selected as random number table. The relevant ultrasound manifestations and sonographic features of patients were further analyzed, and then these data were compared with the pathological diagnosis by using operation.Results: In the 80 patients with endometrial lesions, 43 cases were endometrial polyps, and in the 43 cases, there were 41 cases were consistent with the pathological diagnosis and the diagnostic accordance rate was 95.35%, while there were 2 cases were not consistent between the two methods. 33 cases of the 80 patients were submucous myoma of uterus, and there were 29 cases of them were consistent with the pathological diagnosis and the diagnostic accordance rate was 87.88%, while there were 4 cases were not inconformity. And 4 cases of the 80 patients were endometrial carcinoma, the result was completely consistent with the pathological diagnosis and the diagnostic accordance rate was 100%. In the 6 misdiagnose cases, the ratios of atypical cases and (or) typical cases were 1:16, 5:36 and 1:8, respectively. All of these endometrial lesions has the distinctive manifestations on the ultrasonoscopy of color Doppler.Conclusion: For the detection of endometrial lesions, transvaginal colar Doppler ultrasonic detection has unique feature of ultrasonogram compared with other detection methods. In the contrast, there is a regular congruent relationship between the ultrasonogram of typical disease and section of pathological specimen by using operation in a certain degree, and the ultrasonogram of typical disease has definite diagnosis value.

关键词

子宫黏膜下肌瘤/子宫内膜息肉/子宫内膜癌/经阴道超声检查

Key words

Submucosal myoma of uterus/Endometrial polyps/Endometrial cancer/Vaginal ultrasonic examination

分类

医药卫生

引用本文复制引用

辜晓蓉,王胜华,刘成芳..子宫内膜病变超声声像图特征及鉴别诊断分析[J].中国医学装备,2017,14(8):73-75,3.

中国医学装备

OACSTPCD

1672-8270

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