• 四川大學(xué)華西附屬二醫(yī)院超聲科,四川成都 610041;

目的:評(píng)價(jià)宮腔聲學(xué)造影(SHG)對(duì)子宮內(nèi)膜息肉的診斷價(jià)值。方法:對(duì)臨床擬診宮內(nèi)膜息肉的76例患者進(jìn)行TVS、SHG及宮腔鏡手術(shù)病理檢查,并對(duì)結(jié)果進(jìn)行分析。結(jié)果:以手術(shù)病理結(jié)果作為診斷金標(biāo)準(zhǔn),內(nèi)膜息肉48例,黏膜下肌瘤9例,內(nèi)膜增生10例,宮腔內(nèi)機(jī)化血凝塊3例,正常內(nèi)膜6例。SHG對(duì)子宮內(nèi)膜息肉診斷的準(zhǔn)確性為93.4%,敏感性為93.7%,特異性為92.8%。TVS對(duì)子宮內(nèi)膜息肉診斷的準(zhǔn)確性為59.2%,敏感性為81.2%,特異性為21.4%。兩種方法對(duì)內(nèi)膜息肉的診斷準(zhǔn)確率比較有顯著差異(χ2=5.45,P=0.019)。結(jié)論:宮腔聲學(xué)造影準(zhǔn)確率高,是診斷子宮內(nèi)膜息肉的可靠方法。

引用本文: 廖林,何敏,楊太珠. 宮腔聲學(xué)造影診斷子宮內(nèi)膜息肉的價(jià)值. 華西醫(yī)學(xué), 2009, 24(2): 331-333. doi: 復(fù)制

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  2. 2. Baldwin MR,Dudick KM,Corman B,et al.Focal intracavitary masses recoginized with the hyperechoic line sign at endovaginal US and characterized with hysterosonography[J]Radicgraphics,1999,19:927-935..
  3. 3. MartinezPerez O,PerezMedina T,BajoArenas J.Ultrasonography of endometrial polyps[J].Ultrasound Rev Obstet Gyneco,l 2003,3:43-50..
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  5. 5. 徐勇,蔡愛(ài)露,楊澤宇,等.宮腔聲學(xué)造影與經(jīng)陰道超聲診斷子宮內(nèi)膜息肉的ROC曲線分析[J].中國(guó)臨床醫(yī)學(xué)影像雜志,2006,17(8):455-457..
  6. 6. Pokharel HP,Bhatla N,Kriplani A,et al.Evaluation of endometrial changes and p53 expression in tamoxifen treated women:comparison of various methods[J].Kathmandu Univ Med J(KUMJ),2006,4(2):145-51..