实用临床医药杂志2025，Vol.29Issue(10)：35-39,51,6.DOI:10.7619/jcmp.20246140
基于特殊征象分析经阴道二维超声鉴别诊断不同病理类型子宫内膜病变的价值
Value of transvaginal two-dimensional ultrasonography in differential diagnosis of endometrial lesions with distinct pathological types based on characteristic imaging features
摘要
Abstract
Objective To evaluate the diagnostic efficacy of transvaginal two-dimensional ultra-sonography in differentiating endometrial lesions with distinct pathological types based on characteristic imaging features.Methods A total of 160 patients with suspected endometrial polyps diagnosed via ultrasonography at Department of Ultrasonography of Beijing Tongzhou District Maternal and Child Health Hospital between May 2022 and April 2024 were enrolled.All patients underwent transvaginal two-dimensional ultrasonography examination.Using histopathological diagnosis as the gold standard,the imaging characteristics and diagnostic performance of transvaginal two-dimensional ultrasonography were analyzed.Results Among 160 patients with suspected endometrial polyps,histopathological confirmation was obtained in 124 cases,including 48 cases(38.71％)of endometrial hyperplasia,27 cases(21.77％)of endometrial polypoid lesions,24 cases(19.35％)of submucosal uterine myo-mas,19 cases(15.32％)of endometritis,and 6 cases(4.84％)of endometrial carcinoma.Based on histopathological findings,transvaginal two-dimensional ultrasonography demonstrated a diagnostic ac-curacy of 92.50％(148/160),a positive predictive value of 96.67％(116/120),and a sensitivity of 93.55％(116/124).Among 116 patients diagnosed by transvaginal two-dimensional ultrasonogra-phy with abnormal endometrial echo patterns,98 cases(84.48％)exhibited intrauterine mass-like echoes,30 cases(25.86％)showed abnormal endometrial echoes,12 cases(10.34％)presented endometrial thickening,and 5 cases(4.31％)demonstrated uterine enlargement.Notably,8 of 124 histopathologically confirmed cases(6.45％)exhibited no obvious abnormal imaging features on transvaginal two-dimensional ultrasonography,while 4 cases(3.23％)were misdiagnosed due to other conditions.Conclusion Transvaginal two-dimensional ultrasonography exhibits diagnostic ef-ficacy in differentiating endometrial polyps and related lesions,with characteristic imaging features providing reliable references for clinical decision-making.关键词
特殊征象/经阴道二维超声/鉴别诊断/病理类型/子宫内膜病变/子宫内膜炎/子宫内膜癌/子宫黏膜下肌瘤Key words
characteristic imaging features/transvaginal two-dimensional ultrasonography/differential diagnosis/pathological type/endometrial lesion/endometritis/endometrial carcinoma/submucosal uterine myoma分类
临床医学引用本文复制引用
朱毓,宋玮,白子彤,李莉..基于特殊征象分析经阴道二维超声鉴别诊断不同病理类型子宫内膜病变的价值[J].实用临床医药杂志,2025,29(10):35-39,51,6.基金项目
北京市通州区科技计划项目(KJ2022CX052) （KJ2022CX052）
