经阴道多普勒超声与病理检查在绝经后子宫内膜恶性病变诊断中的对比分析【摘要】目的与病理检查比较，探究经阴道多普勒超声在诊断绝经后子宫内膜恶性病变的应用效果。方法对86例绝经后子宫内膜病变患者的经阴道多普勒超声结果与病理检查结果进行对比分析，并比较良、恶性病变患者的内膜厚度、子宫动脉血流参数及内膜内动脉血流参数，观察良、恶性病变患者的血流显像的差异。结果经阴道多普勒超声诊断子宫内膜病变与病理检查结果的符合率为89.53%，灵敏度为80.00%，特异度为91.55%。恶性病变组的内膜厚度为11.31±2.52mm，大于良性病变组（8.62±1.91mm），差异比较有统计学意义（P<0.05）。恶性病变组的子宫动脉PSV值及RI值分别为22.36±1.76cm/s、0.76±0.19，良性病变组分别为21.81±1.62cm/s、0.83±0.25，组间比较差异无统计学意义（P>0.05）。就子宫内膜内动脉血流参数来看，恶性病变组和良性病变组的PSVen值分别为13.29±0.68cm/s，13.25±0.72cm/s，组间比较无统计学意义（P>0.05）。而恶性病变组和良性病变组的RIen值及血流显示率分别为0.37±0.06、86.67%，0.46±0.11、23.94%，两组比较差异有统计学意义（P<0.05）。结论经阴道多普勒超声在诊断绝经后子宫内膜恶性病变上具有较高的诊断符合率，对子宫内膜恶性病变的准确诊断有一定的应用价值，值得在临床上广泛应用。【关键词】经阴道多普勒超声；病理检查；绝经后子宫内膜恶性病变Comparativeanalysisoftransvaginaldopplerultrasoundandpathologicalexaminationinthediagnosisofpostmenopausalendometriallesions[Abstract]ObjectiveComparewiththepathologicalexamination,toexploretheapplicationeffectoftransvaginaldopplerultrasoundinthediagnosisofpostmenopausalendometriallesions.MethodComparedandanalyzedtheresultsoftransvaginaldopplerultrasoundandpathologicalexaminationin86casesofpostmenopausalendometriallesions.Andcomparedtheendometrialthickness,uterinearterybloodflowparametersandinternalcarotidarterybloodflowparametersofpatientswithbenignlesionsandmalignantlesions.Toobservedthedifferenceofbloodflowimagingofpatientswithbenignlesionsandmalignantlesions.ResultTherateofthediagnosisofendometriallesionsandpathologicalexaminationresultsbytransvaginaldopplerultrasoundwas89.53%,thesensitivitywas80%,andthespecificitywas91.55%.Theendometrialthicknessofmalignantlesionsgroupwas11.31±2.52mm,whichwaslargerthanthatofbenignlesionsgroup(8.62±1.91mm),andthedifferencewasstatisticallysignificant(P<0.05).TheuterinearteryPSVvalueandRIvalueofmalignantlesiongroupwere22.36±1.76cm/s,0.76±0.19,andthebenignlesionsgroupwere21.81±1.62cm/s,0.83±0.25,andtherewerenosignificantdifferencesbetweenthetwogroups(P>0.05).Onendometrialarterybloodflowparameters,themalignantlesionsgroupandbenignlesionsgroupofthePSVenvalueswere13.29±0.68cm/s,13.25±0.72cm/s,therewasnostatisticalsignificancebetweenthegroups(P>0.05).TheRIenvalueandbloodflowdisplayrateofmalignantlesionsgroupandbenignlesionsgroupwere0.37±0.06,86.67%,0.46±0.11,23.94%,andthedifferencewerestatisticallysignificant(P<0.05).ConclusionInthediagnosisofpostmenopausalendometrialmalignantlesions,transvaginalcolordopplerultrasoundhashighdiagnosticcoincidencerateandtheaccuratediagnosisofmalignantendometriallesionshavecertainapplicationvalue.Itisworthytobewidelyusedinclinic.Keywords:transvaginaldopplerultrasound;pathologicexamination;postmenopausalendometriallesions子宫内膜恶性病变作为常见的恶性妇科疾病，据相关研究结果显示，约75%~80%的患者为绝经后妇女，临床上多表现为绝经后不规则阴道出血或排液。该病近年来呈现不断上升趋势，并逐渐向年轻化、低龄化发展[1]。及早诊断、及时治疗是改善患者生存质量、延长生存期限的关键所在。...