宫腔水造影联合经阴道三维超声对子宫内膜息肉的诊断价值
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摘要
目的:探讨宫腔水造影联合经阴道三维超声(3D-TVS)诊断子宫内膜息肉的价值。方法:选择66例临床疑为宫腔内膜息肉患者分别行经阴道二维超声(2D-TVS)、3D-TVS及宫腔水造影检查,并以宫腔镜病理结果作为"金标准",分析宫腔水造影结合3D-TVS诊断内膜息肉的价值。结果:2D-TVS诊断内膜息肉的敏感度、特异度、准确率分别为78.95%、44.44%、74.24%;3D-TVS分别为82.46%、66.67%、80.30%;宫腔水造影结合3D-TVS分别为96.49%、77.78%、93.94%。结论:宫腔水造影结合3D-TVS在诊断内膜息肉方面较单独应用2D-TVS、3D-TVS有明显优势,可为临床早期诊治提供重要依据。
Objective:To evaluate the value of saline infusion sonohysterography combined with three-dimensional transvaginal ultrasonography(3 D-TVS) in the diagnosis of endometrial polyps. Methods:A total of 66 patients(who were suspected endometrial polyps) were examined by two-dimensional transvaginal ultrasound(2 D-TVS),3 D-TVS and saline infusion sonohysterography. Then with hysteroscopy results as the "gold standard",the value of saline infusion sonohysterography combined with 3 D-TVS in diagnosis of endometrial polyps was analyzed. Results:The sensitivity,specificity and diagnostic accordance rate of 2 D-TVS and 3 D-TVS in diagnosing endometrial polyps were respectively 78.95%,44.44%,74.24% and 82.46%,66.67%,80.30%. While sensitivity,specificity and diagnostic accordance rate of saline infusion sonohysterography combined with 3 D-TVS were 96.49%,77.78%,93.94%. Conclusion:Saline infusion sonohysterography combined with 3 D-TVS has obvious advantages in the diagnosis of endometrial polyps than only 2 D-TVS,3 D-TVS,which can provide reliable information for early clinical treatment.
Objective:To evaluate the value of saline infusion sonohysterography combined with three-dimensional transvaginal ultrasonography(3 D-TVS) in the diagnosis of endometrial polyps. Methods:A total of 66 patients(who were suspected endometrial polyps) were examined by two-dimensional transvaginal ultrasound(2 D-TVS),3 D-TVS and saline infusion sonohysterography. Then with hysteroscopy results as the "gold standard",the value of saline infusion sonohysterography combined with 3 D-TVS in diagnosis of endometrial polyps was analyzed. Results:The sensitivity,specificity and diagnostic accordance rate of 2 D-TVS and 3 D-TVS in diagnosing endometrial polyps were respectively 78.95%,44.44%,74.24% and 82.46%,66.67%,80.30%. While sensitivity,specificity and diagnostic accordance rate of saline infusion sonohysterography combined with 3 D-TVS were 96.49%,77.78%,93.94%. Conclusion:Saline infusion sonohysterography combined with 3 D-TVS has obvious advantages in the diagnosis of endometrial polyps than only 2 D-TVS,3 D-TVS,which can provide reliable information for early clinical treatment.
引文
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[9]Yaman C,Mayer R.Three-dimensional ultrasound as a predictor of pregnancy in patients undergoing ART[J].J Turk Ger Gynecol Assoc,2012,13:128-134.
[10]周海霞,刘艳萍.宫腔超声造影、经阴道超声及宫腔镜对子宫内膜息肉诊断的比较[J].肿瘤影像学,2015,24(3):226-229.
[11]王丽春,梁喜.生理盐水灌注子宫超声显像诊断子宫内膜息肉的价值探讨[J].齐齐哈尔医学院学报,2013,34(3):342-343.
[12]Nanda S,Chadha N,Sen J,et al.Transvaginal sonography and saline infhsion sonohysterography in the evaluation of abnonllal uterine bleeding[J].Aust N Z J Obstet Gynaecol,2002,42:530-540.
[13]Chawla I,Tripathi S,Vohra P,et al.To evaluate the accuracy of saline infusion sonohysterography(SIS)for evaluation of uterine cavity abnormalities in patients with abnormal uterine bleeding[J].Obstet Gynaecol India,2014,64:197-201.
[14]Radwan P,Radwan M,Kozarzewski M,et al.Evaluation of sonohysterography in detecting endometrial polyps--241 cases followed with office hysteroscopies combined with histopathological examination[J].Wideochir Inne Tech Malo Inwazyjne,2014,9:344-350.
[2]王云丽,黄向华,李晓冬.子宫内膜息肉病因学及易患因素研究进展[J].国际生殖健康/计划生育杂志,2008,27(6):370-374.
[3]Daniele A,Ferrero A,Maggiorotto F,et al.Suspecting malignancy in endometrial polyps:value of hysteroscopy[J].Tumori,2013,99:204-209.
[4]张颖,张丹,李燕东.子宫内膜息肉样病变的超声与病理对比分析[J].首都医科大学学报,2014,35(2):159-163.
[5]Costa-Paiva L,Godoy CE Jr,Antunes A Jr,et al.Risk of malignancy in endometrial polyps in premenopausal and postmenopausal women according to clinic-pathologic characteristics[J].Menopause,2011,18:1278-1282.
[6]杨军莉.经阴道超声造影二维联合三维超声诊断子宫内膜息肉的价值探讨[J].中国计划生育学杂志,2014,22(5):334-336.
[7]王家奎,龚丽君,周黎,等.子宫腔内病变经阴道三维超声诊断及图像分析[J/CD].中华医学超声杂志(电子版),2014,11(7):582-586.
[8]宋丽莎,严婷,唐风珍,等.经阴道三维超声对子宫内膜息肉及增生期子宫内膜鉴别诊断的研究[J].山西医药杂志,2016,45(14):1647-1648.
[9]Yaman C,Mayer R.Three-dimensional ultrasound as a predictor of pregnancy in patients undergoing ART[J].J Turk Ger Gynecol Assoc,2012,13:128-134.
[10]周海霞,刘艳萍.宫腔超声造影、经阴道超声及宫腔镜对子宫内膜息肉诊断的比较[J].肿瘤影像学,2015,24(3):226-229.
[11]王丽春,梁喜.生理盐水灌注子宫超声显像诊断子宫内膜息肉的价值探讨[J].齐齐哈尔医学院学报,2013,34(3):342-343.
[12]Nanda S,Chadha N,Sen J,et al.Transvaginal sonography and saline infhsion sonohysterography in the evaluation of abnonllal uterine bleeding[J].Aust N Z J Obstet Gynaecol,2002,42:530-540.
[13]Chawla I,Tripathi S,Vohra P,et al.To evaluate the accuracy of saline infusion sonohysterography(SIS)for evaluation of uterine cavity abnormalities in patients with abnormal uterine bleeding[J].Obstet Gynaecol India,2014,64:197-201.
[14]Radwan P,Radwan M,Kozarzewski M,et al.Evaluation of sonohysterography in detecting endometrial polyps--241 cases followed with office hysteroscopies combined with histopathological examination[J].Wideochir Inne Tech Malo Inwazyjne,2014,9:344-350.