摘要
目的:探究经阴道彩超在子宫内膜息肉及子宫内膜癌鉴别中的价值。方法:回顾性分析2022年1月—2024年12月在鹰潭市妇幼保健院接受经阴道彩超和病理学检查的81例子宫内膜疾病患者的临床资料。根据病理学检查(宫腔镜活检/诊断性刮宫)结果分为息肉组(n=52)和癌变组(n=29);经单因素分析比较两组的临床资料、经阴道彩超参数,采用logistic回归分析子宫内膜癌的影响因素。以病理学检查结果为金标准,分析经阴道彩超对子宫内膜息肉和子宫内膜癌的鉴别价值。结果:本次81例子宫内膜疾病患者经病理学检查确诊子宫内膜息肉者52例,占比64.20%;子宫内膜癌者29例,占比35.80%。两组年龄、病程、生育情况、绝经情况、清晰度比较,差异无统计学意义(P>0.05);癌变组病灶内部回声为不均匀的比率、边缘特征为模糊的比率显著高于息肉组,而阻力指数(RI)、搏动指数(PI)、时间峰值流速(TAPV)、内膜灰阶值显著低于息肉组(P<0.05)。logistic回归分析结果显示,PI、TAPV及内膜灰阶值均为子宫内膜癌的影响因素(P<0.05)。经阴道彩超对子宫内膜癌的诊断准确率、敏感度、特异度分别为90.12%、89.66%、90.38%,Kappa值为0.663。结论:TAPV、PI和内膜灰阶值是子宫内膜癌的影响因素。经阴道彩超在子宫内膜息肉及子宫内膜癌的鉴别中具有重要的价值,对于早期诊断和治疗具有重要意义。
Objective:To explore the value of transvaginal color Doppler ultrasound in the identification of endometrial polyps and endometrial cancer.Method:The clinical data of 81 patients with endometrial diseases who received transvaginal color Doppler ultrasound and pathological examination in Yingtan Maternal and Child Health Care Hospital from January 2022 to December 2024 were retrospectively analyzed.According to the results of pathological examination(hysteroscopic biopsy/diagnostic curettage),they were divided into the polyp group(n=52)and the cancer group(n=29).The clinical data and transvaginal color Doppler ultrasound parameters of the two groups were compared through univariate analysis.logistic regression was used to analyze the influencing factors of endometrial cancer.Taking the results of pathological examination as the gold standard,the differential value of transvaginal color Doppler ultrasound in endometrial polyps and endometrial cancer was analyzed.Result:There were 52 cases of endometrial polyps(64.20%)and 29 cases of endometrial cancer(35.80%)among 81 patients with endometrial diseases diagnosed by pathological examination results.There were no statistical differences in age,course of disease,fertility status,menopause status and clarity between the two groups(P>0.05).The proportions of uneven lesion internal echo and blurred edge characteristics in cancer group were significantly higher than those in polyp group,while the resistance index(RI),pulsatility index(PI),time-averaged peak velocity(TAPV)and endometrial gray scale value were significantly lower than those in polyp group(P<0.05).The results of logistic regression analysis showed that PI value,TAPV and endometrial gray scale value were all influencing factors of endometrial cancer(P<0.05).The diagnostic accuracy rate,sensitivity and specificity of transvaginal color Doppler ultrasound in differentiating endometrial cancer were 90.12%,89.66%and 90.38%respectively,and the Kappa value was 0.663.Conclusion:TAPV,PI and endometrial gray scale value are the influencing factors of endometrial cancer.Transvaginal color Doppler ultrasound has significant value in the differentiation between endometrial polyps and endometrial cancer,and is of great significance for early diagnosis and treatment.
作者
倪玮爱
曹莉
詹秀英
徐圣
朱明英
NI Wei’ai;CAO Li;ZHAN Xiuying;XU Sheng;ZHU Mingying(Ultrasound Department,Yingtan Maternal and Child Health Care Hospital,Yingtan 335000,China;不详)
出处
《中国医学创新》
2026年第6期139-143,共5页
Medical Innovation of China
关键词
经阴道彩超
子宫内膜息肉
子宫内膜癌
鉴别
Transvaginal color Doppler ultrasound
Endometrial polyps
Endometrial cancer
Identification
