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| Value of Transvaginal Doppler Ultrasound and Hysteroscopy in the Diagnosis of Endometrial Lesions |
| YANG Xiu-mei, BI Cui, SHAO Ying-hua, et al |
| Department of Gynecology, Cangzhou People's Hospital of Hebei Province, Cangzhou Hebei 061000, China |
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Abstract 【Objective】To analyze the value of transvaginal doppler ultrasound and hysteroscopy in the diagnosis of endometrial lesions.【Methods】Ninety-four patients with endometrial lesions treated in our hospital from August 2015 to January 2018 were retrospectively analyzed. The results of transvaginal doppler ultrasound and hysteroscopy were analyzed, and the pathological diagnosis were used as the criterion for judgement. 【Results】The pathological diagnosis results of 94 cases of endometrial diseases were 28 cases of endometrial hyperplasia, 16 cases of endometrial polyps, 12 cases of submucous myoma, 8 cases of endometrial cancer, 15 cases of endometritis, 6 cases of endometriosis, 9 cases of endometrial atrophy. According to the results of pathological diagnosis, there were 22 cases of endometrial hyperplasia (4 cases missed diagnosis, 2 cases misdiagnosed as endometrial polyps), 13 cases of endometrial polyps (1 case missed diagnosis, 2 cases misdiagnosed as endometrial hyperplasia), 9 cases of submucous myoma (3 cases missed diagnosis), 11 cases of endometritis (4 cases missed diagnosis, 1 case misdiagnosed as endometrial hyperplasia), 4 cases of endometriosis (2 cases misdiagnosed as endometrial hyperplasia), 9 cases of endometrial atrophy (no missed diagnosis and misdiagnosis) According to the pathological diagnosis results, hysteroscopy diagnosed 26 cases of endometrial hyperplasia (2 cases misdiagnosed as endometriosis), 15 cases of endometrial polyps (1 case missed diagnosis), 11 cases of submucous myoma (1 case misdiagnosed as submucous cyst), 6 cases of endometrial carcinoma (1 case missed diagnosis, 1 case misdiagnosed as submucous myoma), 14 cases of endometritis (1 case misdiagnosed as endometrial hyperplasia), 5 cases of endometriosis (1 case missed diagnosis), 9 cases of endometrial atrophy (no missed diagnosis and error) Diagnosis. The total accuracy rate of hysteroscopy was 91.49% (86 / 94), which was significantly higher than 76.60% (72 / 94) of vaginal Doppler ultrasound, and the accuracy rate of hysteroscopy for various diseases was significantly higher than that of vaginal Doppler ultrasound, with a statistically significant difference (P<0.05).【Conclusion】Vaginal Doppler ultrasound and hysteroscopy have certain value in the classification of endometrial lesions, and the diagnosis rate of hysteroscopy is higher. However, transvaginal Doppler ultrasound and hysteroscopy have their own advantages. When they are used in the diagnosis and treatment of clinical diseases, they can choose the diagnosis mode according to the actual situation of patients and carry out targeted treatment, so as to improve the accuracy of disease diagnosis and reduce unnecessary medical costs.
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Received: 04 November 2018
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2020, Vol. 37 
