Fukuda M, Shimizu T, Fukuda K, Yomura W, Shimizu S
Fukuda Ladies' Clinic, Ako, Japan.
Gynecol Obstet Invest. 1993;35(4):236-9. doi: 10.1159/000292707.
Thirty-six patients with hypermenorrhea, dysmenorrhea, and/or anemia were examined by transvaginal sonography (TVS) and by transvaginal hysterosonography using an endometrial balloon catheter and saline (TVHS). Those patients who showed distinct intramural myomas by TVS were excluded from this study. Of 36 patients, 22 were diagnosed with submucous myomas, 10 with intramural myomas, and 4 with endometrial polyps by TVS, but 20 patients were diagnosed as having submucous myomas, 12 patients intramural myomas, and 4 patients endometrial polyps by TVHS. The correlation between ultrasound findings and surgery (hysterectomy or hysteroscopy) indicated that there were 13 misdiagnoses (36%) by TVS and only one misdiagnosis (2.8%) by TVHS.
对36例月经过多、痛经和/或贫血患者进行了经阴道超声检查（TVS）以及使用子宫内膜球囊导管和生理盐水的经阴道子宫超声造影检查（TVHS）。经TVS显示有明显肌壁间肌瘤的患者被排除在本研究之外。36例患者中，经TVS诊断为黏膜下肌瘤22例、肌壁间肌瘤10例、子宫内膜息肉4例，但经TVHS诊断为黏膜下肌瘤20例、肌壁间肌瘤12例、子宫内膜息肉4例。超声检查结果与手术（子宫切除术或宫腔镜检查）之间的相关性表明，TVS误诊13例（36%），而TVHS仅误诊1例（2.8%）。
