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目的:对比分析经阴道与腹部彩色超声诊断宫腔内病变情况及临床价值。方法:选取2015年5月至2016年5月期间我院收治的疑似宫腔内病变患者250例,对其临床资料进行回顾性分析。所有患者先后分别进行经阴道与腹部彩色超声诊断,并将结果与病理诊断结果进行对比分析。结果:病理诊断阳性检出率为56%(140/250),经阴道彩色超声诊断的阳性检出率为54%(135/250),误诊及漏诊率为2%;腹部彩色超声诊断的阳性检出率为44%(110/250),误诊及漏诊率为12%。差异显著具有统计学意义(P<0.05)。结论:对比分析经阴道与腹部彩色超声诊断宫腔内病变情况,经阴道彩色超声诊断的效果更好,阳性检出率更高,误诊及漏诊率更小,表现更有特点,临床意义更高,值得推广应用。
OBJECTIVE: To comparatively analyze the intrauterine lesions and clinical value of transvaginal and abdominal color sonography. Methods: From May 2015 to May 2016 in our hospital during the treatment of suspected intrauterine lesions in 250 patients, the clinical data were retrospectively analyzed. All patients have respectively transvaginal and abdominal color ultrasound diagnosis, and the results of pathological diagnosis were compared. Results: The positive rate of pathological diagnosis was 56% (140/250). The positive rate of transvaginal sonography was 54% (135/250). The rate of misdiagnosis and misdiagnosis was 2%. The positive result of color ultrasound in abdomen The detection rate was 44% (110/250), misdiagnosis and missed diagnosis rate was 12%. The difference was statistically significant (P <0.05). Conclusions: Compared with the transvaginal and abdominal color sonography in the diagnosis of intrauterine lesions, transvaginal color sonography is more effective, the positive rate is higher, the rate of misdiagnosis and missed diagnosis is smaller, the features are more characteristic and the clinical significance is higher , It is worth promoting application.