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目的分析妇女子宫内膜病变的有效超声诊断方法。方法选取行子宫内膜活检的非妊娠期妇女100例,并随机将其分为采用超声阴道检测的观察组和经腹部超声检测的对照组各50例,详细记录2组患者的超声检查结果,并进行子宫内膜病变的临床诊断率的比较。结果观察组子宫内膜疾病患者经阴道检查子宫内膜息肉、子宫内膜炎、子宫内膜增生、子宫内膜癌、宫黏膜下肌瘤、不全流产等疾病的符合率明显高于对照组,差异有统计学意义(P<0.05);阴道超声子宫内膜病变所显示的回波、信号强度也优于对照组。结论阴道超声诊断对子宫内膜病变有很好的诊断价值,不仅可以达到较高的准确率,还能发现微小病灶,确定肌层的浸润情况,故值得临床上进一步探讨与使用。
Objective To analyze the effective ultrasonic diagnosis of endometrial lesions in women. Methods 100 cases of non-pregnant women who underwent endometrial biopsy were randomly divided into two groups: 50 cases in observation group by ultrasound vaginal examination and 50 cases in control group by abdominal ultrasonography. The results of ultrasonography were recorded in two groups. And the clinical diagnosis of endometrial lesions were compared. Results In the observation group, the coincidence rates of endometrial polyps, endometritis, endometrial hyperplasia, endometrial carcinoma, submucous myoma, incomplete abortion were significantly higher in patients with endometrial diseases than those in the control group. The difference was statistically significant (P <0.05); vaginal ultrasound endometrial lesions showed echo, signal intensity is also better than the control group. Conclusion Vaginal ultrasound diagnosis of endometrial lesions have a good diagnostic value, not only to achieve a high accuracy, but also found that tiny lesions, to determine the invasion of myometrial, it is worth to further explore the clinical and use.