经阴道彩色超声诊断子宫内膜疾病269例
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摘要
目的分析、总结子宫内膜各病变类型的声像图特征,为超声诊断各型子宫内膜疾病提供依据。方法对经阴道彩色多普勒超声检查并经病理证实的269例子宫内膜病变患者的超声声像图进行分析,并与病理结果进行对照。结果 269例子宫内膜疾病患者中,子宫内膜单纯性增生171例、子宫内膜息肉58例、子宫黏膜下肌瘤4例、子宫内膜癌6例、子宫内膜炎3例;超声声像图表现以内膜不同程度增厚为基础,伴内膜回声大部或局部增强、大小不同囊性结构、有无或多少不一的条形及点状血流信号的不同,为不同类型子宫内膜疾病的特征性诊断及鉴别要点。结论经阴道超声检查子宫内膜图像清晰,特征性内膜声像有利于子宫内膜疾病的诊断。
Objective To analyze and summarize the ultrasonographic features of various types of endometrial lesions,so as to provide the basis for ultrasonographic diagnosis of various endometrial diseases.Methods The ultrasonic images of 269 patients with endometrial lesions who were examined by transvaginal color Doppler ultrasound and were pathologically confirmed were analyzed,and were compared with the pathological results.Results Among the 269 cases of endometrial diseases,there were 171 cases of endometrial hyperplasia,58 cases of endometrial polyps,4 cases of uterine submucous myoma,6 cases of endometrial carcinoma,and 3 cases of endometritis.Ultrasonographic manifestations were based on the different degrees of thickening of endometrial membrane,accompanied by large or local enhancement of the endometrial echo,different sizes of cystic structures,with or without stripes and punctate blood flow signals or with different amounts of them.The above findings were characteristic diagnosis and identification points for different types of endometrial diseases.Conclusion Transvaginal ultrasound examination of endometrial images is clear,and characteristic endometrial ultrasonography is helpful for the diagnosis of endometrial diseases.
Objective To analyze and summarize the ultrasonographic features of various types of endometrial lesions,so as to provide the basis for ultrasonographic diagnosis of various endometrial diseases.Methods The ultrasonic images of 269 patients with endometrial lesions who were examined by transvaginal color Doppler ultrasound and were pathologically confirmed were analyzed,and were compared with the pathological results.Results Among the 269 cases of endometrial diseases,there were 171 cases of endometrial hyperplasia,58 cases of endometrial polyps,4 cases of uterine submucous myoma,6 cases of endometrial carcinoma,and 3 cases of endometritis.Ultrasonographic manifestations were based on the different degrees of thickening of endometrial membrane,accompanied by large or local enhancement of the endometrial echo,different sizes of cystic structures,with or without stripes and punctate blood flow signals or with different amounts of them.The above findings were characteristic diagnosis and identification points for different types of endometrial diseases.Conclusion Transvaginal ultrasound examination of endometrial images is clear,and characteristic endometrial ultrasonography is helpful for the diagnosis of endometrial diseases.
引文
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[4]姜玉新.超声医学科诊疗常规[M].北京:人民卫生出版社.
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[6]朱冬梅,刘学彬,杨娇,等.阴道超声诊断子宫内膜癌56例临床分析[J].吉林医学,2011,32(34):7231.
[7]于春梅,卢德华,战云.超声检查对绝经后子宫内膜病变诊治价值分析[J].中国实验诊断学,2011,(11):146-148.
[8]沈柏兰,吴成平.经阴道彩色多普勒超声检查子宫内膜息肉的临床价值[J].吉林医学,2011,32(8):1534.
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[10]Arie B,Goldchmit C,Laviv Y.The malignant potential of endometrial polyps[J].Eur Obstet Gynecol,2004,115(2):206.
[11]陈小兰.经阴道超声诊断子宫内膜息肉60例临床分析[J].中国当代医药,2013,20(23):109-110,113.
[12]Grimbizis GF,Tsolakidis D,Mikors T,et al.A prospective comparison of transvaginal ultrasound,saline infusion sonohysterography,and diagnostic hysteroscopy in the evaluation of endometrial pathology[J].Fertil Steril,2010,94(7):2720-2725.
[13]林秋兰,许春梅.经阴道彩色多普勒超声在子宫内膜病变诊断中的价值[J].广西医科大学学报,2012,29(6):940-942.
[14]李瑞苗.经阴道彩色多普勒超声检查对子宫内膜病变的诊断价值[J].吉林医学,2013,34(29):6081-6082.
[15]陈莹,刘斌月.经阴道彩色多普勒超声诊断子宫内膜病变69例分析[J].中国基层医药,2011,18(14):1888-1889.
[16]潘燕芳,严春华,陈陶玲.超声诊断绝经后子宫内膜病变的临床应用价值分析[J].现代诊断与治疗,2014(1):205-205.
[2]何卫东.经阴道彩色多普勒超声诊断子宫内膜病变[J].中国医学影像技术,2010,26(10):1937-1939.
[3]吴静,张倩,王萍.超声检查诊断子宫内膜病变的临床价值[J].中国超声医学杂志,2007,23(9):696-698.
[4]姜玉新.超声医学科诊疗常规[M].北京:人民卫生出版社.
[5]莫元春.经阴道彩色多普勒超声诊断子宫内膜息肉分析[J].实用中医药杂志,2014,30(2):155-156.
[6]朱冬梅,刘学彬,杨娇,等.阴道超声诊断子宫内膜癌56例临床分析[J].吉林医学,2011,32(34):7231.
[7]于春梅,卢德华,战云.超声检查对绝经后子宫内膜病变诊治价值分析[J].中国实验诊断学,2011,(11):146-148.
[8]沈柏兰,吴成平.经阴道彩色多普勒超声检查子宫内膜息肉的临床价值[J].吉林医学,2011,32(8):1534.
[9]张翠萍.经阴道彩色多普勒超声对子宫内膜病变的诊断[J].中国社区医师(医学专业),2012,14(2):271.
[10]Arie B,Goldchmit C,Laviv Y.The malignant potential of endometrial polyps[J].Eur Obstet Gynecol,2004,115(2):206.
[11]陈小兰.经阴道超声诊断子宫内膜息肉60例临床分析[J].中国当代医药,2013,20(23):109-110,113.
[12]Grimbizis GF,Tsolakidis D,Mikors T,et al.A prospective comparison of transvaginal ultrasound,saline infusion sonohysterography,and diagnostic hysteroscopy in the evaluation of endometrial pathology[J].Fertil Steril,2010,94(7):2720-2725.
[13]林秋兰,许春梅.经阴道彩色多普勒超声在子宫内膜病变诊断中的价值[J].广西医科大学学报,2012,29(6):940-942.
[14]李瑞苗.经阴道彩色多普勒超声检查对子宫内膜病变的诊断价值[J].吉林医学,2013,34(29):6081-6082.
[15]陈莹,刘斌月.经阴道彩色多普勒超声诊断子宫内膜病变69例分析[J].中国基层医药,2011,18(14):1888-1889.
[16]潘燕芳,严春华,陈陶玲.超声诊断绝经后子宫内膜病变的临床应用价值分析[J].现代诊断与治疗,2014(1):205-205.