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目的观察B超检查对子宫内膜息肉(EP)诊断正确率、假阴性率等,探讨其诊断价值。方法 80例子宫内膜息肉患者作为研究对象,均经病理检查确诊,于月经前后行B超检查,观察B超表现,并结合病理检查结果分析其敏感度、特异度等,并对患者进行满意度调查。结果患者月经前后子宫内膜均呈不同程度的增厚,1.2~2.4 cm不等,可探及呈舌状、乳头状等实质不均匀的回声光团,单个、多发均有;经分析,73例诊断为子宫内膜息肉,诊断正确率为91.25%,假阴性率8.75%。经分析,76例(95.00%)患者针对检查的简便性、费用低廉、诊断准确性等较为满意。结论 B超检查对子宫内膜息肉诊断正确率较高,且无创、安全,患者易于接受,具有重要临床价值。
Objective To observe the diagnostic accuracy and false-negative rate of B-ultrasound in the diagnosis of endometrial polyps (EP), and to explore its diagnostic value. Methods Eighty patients with endometrial polyps were enrolled in this study. All of them were diagnosed by pathological examination. B-ultrasound examination before and after menstruation was performed to observe the B-ultrasound findings. The sensitivity and specificity were analyzed according to the results of pathological examination, and the patients were satisfied Degree survey. Results Before and after menstruation, the endometrium showed thickening to some extent, ranging from 1.2 cm to 2.4 cm. The echogenic mass with uneven tongue and papillae could be detected and found to be single or multiple. After analysis, 73 cases diagnosed as endometrial polyps, the diagnostic accuracy rate was 91.25%, the false negative rate was 8.75%. After analysis, 76 patients (95.00%) were more satisfied with the convenience of examination, low cost and accuracy of diagnosis. Conclusion B ultrasound examination of the diagnosis of endometrial polyps higher accuracy, and noninvasive, safe, easy to accept patients, has important clinical value.