Title: The study of transvaginal color doppler ultrasound in the diagnosis of endometrial lesions
Abstract: OBJECTIVE To investigate vaginal color doppler ultrasound in the diagnosis of endometrial lesions clinical value.METHODS Between 2006 January and December 2011,82 patients with endometrial lesions in outpatient and inpatient department of gynecological pathologic were performed with vaginal color doppler ultrasound examination and abdominal ultrasound doppler ultrasound examination,the analysis of the diagnosis coincidence rate between ultrasonic diagnosis and pathologic examination.RESULTS Vaginal ultrasound diagnosis in 76 cases,diagnosis rate was 92.68%,the misdiagnosis 6 cases,the misdiagnosis rate was 7.32%,endometrial hyperplasia,endometrial polyps,submucosal uterine myoma,atrophic endometrial and endometrial cancer diagnosis coincidence rate were 92.11%,95.65%,100.00%,80.00% and 75.00%,abdominal ultrasound diagnosis accord was 47 cases,diagnosis coincidence rate 57.32%,35 cases misdiagnosis,the misdiagnosis rate was 42.68%,endometrial hyperplasia,endometrial polyps,submucosal uterine myoma,atrophic endometrial and endometrial cancer diagnosis coincidence rate were 60.53%,56.52%,58.33%,40.00% and 50.00%,endometrial hyperplasia,endometrial polyps,submucosal uterine myoma diagnosis coincidence rate and the overall diagnostic coincidence rate in different ultrasonic inspection methods were compared(the number of atrophic intima and endometrial carcinoma was too few to compare)differences were significant(P﹤0.05).Vaginal ultrasound benign lesion blood flow signal display rate was 21.92%,artery resistance index was(0.72 ± 0.13),malignant lesion blood flow signal display rate 100.00% and artery resistance index(0.38 ± 0.09),which had statistical significance(P﹤0.05).CONCLUSION The accuracy of transvaginal color doppler ultrasound in diagnosis of endometrial lesions is obviously higher than that of the abdominal ultrasound examination,so it is proposed as a conventional method for the examination of married women endometrial lesions.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
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