經陰道超聲診斷子宮內膜病變的臨床價值

[摘要] 目的 分析經陰道超聲在子宮內膜病變臨床診斷中的應用價值。方法 方便抽取該院于2015年9月—2016年8月期間收治的高度懷疑為子宮內膜病變的78例患者納入研究，分別采用經陰道超聲和經腹部超聲檢查，以病理學診斷結果為金標準，通過對比兩種診斷方法診斷結果與病理診斷結果的符合率以及特異性和敏感性。 結果 78例患者經陰道超聲診斷結果與病理診斷結果的符合率為97.4%，診斷特異性為100.0%，診斷敏感性為97.4%，均較經腹部超聲的92.3%、83.3%、86.7%高，兩種診斷方法上述指標比較差異有統計學意義（P<0.05）。結論 經陰道超聲診斷子宮內膜病變，敏感性、特異性高，能夠為子宮內膜病變患者的臨床診斷提供客觀參考依據，有利于降低子宮內膜病變患者的誤診率。

[關鍵詞] 子宮內膜病變；經陰道超聲；病理診斷結果；應用價值

[中圖分類號] R540 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0193-03

[Abstract] Objective To analyze the value of transvaginal sonography in clinical diagnosis of endometrial lesions. Methods Convenient selection a total of 78 patients with suspected endometriosis from September 2015 to August 2016 were included in this study. Transvaginal sonography and transabdominal ultrasonography were used to diagnose endometriosis. The diagnostic results were compared with those of the two diagnostic methods. The coincidence rate and the specificity and sensitivity of pathologic diagnosis. Results The diagnostic accuracy and specificity of transvaginal ultrasonography were 97.4%， 100.0% and 97.4%， respectively， which were significantly higher than those of transabdominal ultrasonography 92.3%， 83.3%， 86.7%. There was significant difference between the two diagnostic methods in the above indexes （P <0.05）. Conclusion Transvaginal ultrasound diagnosis of endometrial lesions， sensitivity and specificity， can provide an objective basis for clinical diagnosis of endometrial lesions in patients with endometrial lesions in favor of reducing the misdiagnosis rate.

[Key words] Endometrial lesions；Transvaginal ultrasound；Pathological diagnosis； Application value

子宮內膜病變為我國女性較為常見一類婦科疾病，具體的病理類型包括子宮內膜炎、子宮內膜異位癥、子宮內膜癌等[1]。長期臨床觀察發現，子宮內膜病變的發生不僅會給患者造成嚴重的機體痛苦和沉重的心理壓力，也會對患者的生命健康造成威脅[2]。總結子宮內膜病變的臨床診斷和治療經驗發現，在患者發病早期明確診斷結果，及時對患者實施治療，是促進患者身心健康早日恢復的關鍵[3]。超聲是我國臨床診斷子宮內膜病變的常用方法，伴隨著超聲技術的不斷進步，現階段經陰道超聲在子宮內膜病變的臨床診斷中得到應用，但關于該種診斷方法的應用效果仍存在一些爭議[4]。……