简介: 摘要:目的 探讨阴式彩超检查在子宫内膜病变诊断中的临床应用价值。方法 选取 2018年 1月~ 2020年 1月于我院经病理确诊为子宫内膜病变患者 134例,所有患者均行阴式彩超检查且资料完整,将超声诊断结果与病理结果进行对比分析。结果 病理结果示子宫内膜增生过长 63例、子宫内膜息肉 38例、子宫粘膜下肌瘤 24例、子宫内膜癌 9例,阴式彩超诊断结果为子宫内膜增厚 63例、子宫内膜息肉 38例、子宫粘膜下肌瘤 23例、子宫内膜癌 10例,阴式彩超诊断准确率为 97.76%,其在子宫内膜恶性病变诊断中,阴式彩超诊断敏感性为 83.33%,特异性为 97.60%,准确率为 96.64%,阳性预测值率为 71.43%,阴性预测率为 98.79%。结论 阴式彩超是一种安全、有效、无创、经济的子宫内膜病变筛查方法,在子宫内膜恶性病变早期发现、早期诊断中具有重要的应用价值。 关键词:阴式彩超; 子宫内膜; 诊断 Abstract: Objective To investigate the clinical value of transvaginal color Doppler ultrasound in the diagnosis of endometrial lesions. Methods from January 2018 to January 2020, 134 patients with endometrial lesions confirmed by pathology in our hospital were selected. All patients underwent transvaginal color Doppler ultrasound and the data were complete. The ultrasound diagnosis results and pathological results were compared and analyzed. result Pathological results showed that 63 cases of endometrial hyperplasia, 38 cases of endometrial polyps, 24 cases of submucosal myoma, 9 cases of endometrial cancer. The diagnosis results of transvaginal color Doppler ultrasound were endometrial thickening in 63 cases, endometrial polyps in 38 cases, submucosal myoma in 23 cases, endometrial cancer in 10 cases. The diagnostic accuracy of transvaginal color ultrasound was 97.76% The positive rate was 98.64%, the positive rate was 96.64%, and the specificity was 96.83%. Conclusion transvaginal color Doppler ultrasound is a safe, effective, noninvasive and economical screening method for endometrial lesions, which has important application value in early detection and early diagnosis of endometrial malignant lesions.