子宫输卵管超声造影在评估黏膜下肌瘤和子宫内膜息肉中的诊断价值。
Diagnostic value of sonohysterography in the evaluation of submucosal fibroids and endometrial polyps.
作者信息
Nass Duce Meltem, Oz Utku, Ozer Caner, Yildiz Altan, Apaydin Feramuz Demir, Cil Filiz
机构信息
Department of Radiology, Faculty of Medicine, Mersin University, Mersin, Turkey.
出版信息
Aust N Z J Obstet Gynaecol. 2003 Dec;43(6):448-52. doi: 10.1046/j.0004-8666.2003.00129.x.
AIMS
To evaluate the diagnostic value of sonohysterography in the evaluation of submucosal fibroids and endometrial polyps.
METHODS
Thirty-two women whose preliminary transvaginal ultrasound suggested endometrial abnormality underwent sonohysterography. The findings were then compared with histopathological results.
RESULTS
The sonohysterographic diagnosis was fibroid in seven patients, endometrial polyp in 23 patients and simple hyperplasia in two patients. Histopathological findings confirmed our diagnosis in all except three patients with endometrial polyps, who had normal secretory endometrium. Sonohysterography was found to have a sensitivity of 100%, a positive predictive value of 90% and diagnostic accuracy of 90.6%.
CONCLUSION
Sonohysterography is a useful, minimally invasive and accurate technique to evaluate the pathologies involving endometrium and uterine cavity.
目的
评估子宫超声造影在评估黏膜下肌瘤和子宫内膜息肉中的诊断价值。
方法
32名经初步经阴道超声检查提示子宫内膜异常的女性接受了子宫超声造影检查。然后将检查结果与组织病理学结果进行比较。
结果
子宫超声造影诊断为肌瘤的有7例患者，诊断为子宫内膜息肉的有23例患者，诊断为单纯性增生的有2例患者。除3例诊断为子宫内膜息肉但组织病理学结果显示为正常分泌期子宫内膜的患者外，组织病理学结果证实了我们的诊断。子宫超声造影的敏感性为100%，阳性预测值为90%，诊断准确性为90.6%。
结论
子宫超声造影是一种评估涉及子宫内膜和子宫腔病变的有用、微创且准确的技术。
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