关键词:

子宫内膜息肉, 经阴道超声, 二维超声, 三维超声

Abstract:

Objective　To explore the application value of transvaginal two-dimensional (2D) and three-dimensional (3D) color Doppler ultrasound in the diagnosis of endometrial polyps. Methods　A total of 86 patients with suspected endometrial polyps who visited Guangzhou United Family Hospital from May 2021 to December 2023, aged 25-50 years, were retrospectively selected as the study subjects. All the 86 patients with suspected endometrial polyps underwent transvaginal 2D and 3D color Doppler ultrasound examinations and hysteroscopic pathological biopsy. The efficacies of transvaginal 2D and 3D color Doppler ultrasound examinations in the diagnosis of endometrial polyps were compared by χ² test according to the pathological diagnosis results. Results　Among the 86 patients with suspected endometrial polyps, 81 cases were pathologically diagnosed as endometrial polyps. Among them, 72 cases of endometrial polyps were confirmed by transvaginal 2D ultrasound, with 9 missed diagnoses, resulting in a diagnostic accuracy rate of 88.9%; 79 cases of endometrial polyps were confirmed by transvaginal 3D ultrasound, with 2 missed diagnoses, resulting in a diagnostic accuracy rate of 97.5%; the diagnostic accuracy rate of transvaginal 3D ultrasound was higher than that of transvaginal 2D ultrasound (P<0.05). Conclusion　Transvaginal ultrasound technology has high accuracy and reliability in the diagnosis and evaluation of endometrial polyps, especially transvaginal 3D ultrasound, which can provide important references for clinical treatment.

Key words:

Endometrial polyps, Transvaginal ultrasound, Two-dimensional ultrasound, Three-dimensional ultrasound