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目的探讨经阴道和经腹部超声诊断子宫内膜病变的临床效果。方法选取深圳市宝安区人民医院2013年3月至2015年3月经超声与病理学检查确诊为子宫内膜病变的136例患者为研究对象,按照超声检查途径不同分为两组。观察组采取经阴道超声检查,对照组进行经腹部超声检查。比较两组超声检查结果与病理学检查结果的符合情况,计算其诊断准确率,并分别对不同类型病变诊断的符合率进行比较。结果观察组诊断出63例,准确率为92.65%,对照组诊断出50例,准确率为73.53%,观察组显著高于对照组(P<0.01)。观察组子宫内膜炎与子宫内膜增生诊断符合率显著高于对照组(P<0.05);子宫内膜息肉、子宫黏膜下肌瘤、子宫内膜癌的诊断符合率比较差异未见统计学意义(P>0.05)。结论经阴道超声检查简单、方便、可行,诊断子宫内膜病变准确率高,具有明显优势,值得临床应用。
Objective To investigate the clinical effect of transvaginal and transabdominal ultrasonography in the diagnosis of endometrial lesions. Methods A total of 136 patients with endometriosis diagnosed by ultrasound and pathology from March 2013 to March 2015 in Bao’an District People’s Hospital of Shenzhen were selected as the study subjects and divided into two groups according to the different ways of ultrasound examination. The observation group to take transvaginal ultrasound examination, the control group by abdominal ultrasound. Comparing the two groups of ultrasound findings and pathological findings in line with the situation, calculate the diagnostic accuracy, and respectively, different types of lesion diagnosis of compliance rates were compared. Results In the observation group, 63 cases were diagnosed with an accuracy rate of 92.65%. In the control group, 50 cases were diagnosed with an accuracy rate of 73.53%. The observation group was significantly higher than that of the control group (P <0.01). The coincidence rate of endometritis and endometrial hyperplasia in the observation group was significantly higher than that of the control group (P <0.05). There was no statistical difference in the diagnostic coincidence rate of endometrial polyps, uterine submucous myoma and endometrial carcinoma Significance (P> 0.05). Conclusion Transvaginal ultrasonography is a simple, convenient and feasible method for the diagnosis of endometrial lesions with high accuracy, which has obvious advantages and is worthy of clinical application.