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

摘要：

目的　探讨经阴道二维彩色多普勒超声和经阴道三维彩色多普勒超声在子宫内膜息肉诊断中的应用价值。方法　选取2021年5月至2023年12月广州和睦家医院收治的86例疑似子宫内膜息肉患者作为研究对象，年龄25～50岁。86例疑似子宫内膜息肉患者均进行经阴道二维彩色多普勒超声检查、经阴道三维彩色多普勒超声检查以及宫腔镜病理活检。依据病理诊断结果，采用χ²检验，比较经阴道二维与三维彩色多普勒超声检查在子宫内膜息肉诊断中的价值。结果　在86例疑似子宫内膜息肉患者中，经病理诊断为子宫内膜息肉81例。经阴道二维超声检查确诊子宫内膜息肉72例，漏诊9例，确诊率88.9%；经阴道三维超声检查确诊子宫内膜息肉79例，漏诊2例，确诊率97.5%；经阴道三维超声诊断子宫内膜息肉确诊率高于经阴道二维超声检查（P<0.05）。结论　在子宫内膜息肉的诊断与评估中，经阴道超声技术具有较高的准确性和可靠性，尤其是经阴道三维超声，其可为临床治疗提供重要依据。

关键词:

子宫内膜息肉, 经阴道超声, 二维超声, 三维超声