首页|经阴道超声联合3D-TVS Render成像诊断子宫内膜病变的临床价值分析

经阴道超声联合3D-TVS Render成像诊断子宫内膜病变的临床价值分析

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目的 分析经阴道超声联合三维超声(3D-TVS)Render成像诊断子宫内膜病变的临床价值.方法 回顾性分析2019年11月至2022年11月我院收治的123例子宫内膜病变患者的临床资料,术前或诊刮前均行经阴道超声、3D-TVS Render成像检查,以病理检查结果作为"金标准",分析经阴道超声联合3D-TVS Render成像对子宫内膜病变的诊断价值.结果 经病理检查结果显示,123例患者中子宫内膜癌24例,子宫内膜良性病变99例;子宫内膜癌患者经阴道超声检查的子宫内膜厚度(ET)高于良性病变患者,经3D-TVS Render成像检查的子宫内膜血管指数(VI)、血流指数(FI)、血管血流指数(VFI)高于良性病变患者(P<0.05);绘制ROC曲线结果显示,ET、VI、FI、VFI联合诊断子宫内膜病变的AUC为0.968,高于各指标单独诊断.结论 经阴道超声联合3D-TVS Render成像对子宫内膜病变的诊断价值较高,值得临床推广应用.
Analysis on Clinical Value of Transvaginal Ultrasound Combined with 3D-TVS Render Imaging in the Diagnosis of En-dometrial Lesions
Objective To analyze the clinical value of transvaginal ultrasound combined with three-dimensional ultrasound(3D-TVS)Render imaging in the diagnosis of endometrial lesions.Methods The clinical data of 123 patients with endometrial lesions admitted to our hospital from November 2019 to November 2022 were retrospectively analyzed.Transvaginal ultrasound and 3D-TVS Render imaging were performed before surgery or curettage.Taking pathological examination results as the gold standard,the diagnostic value of transvaginal ultrasound combined with 3D-TVS Render imaging for endometrial lesions was analyzed.Results Pathological examination results showed that among 123 patients,24 cases had endometrial cancer and 99 cases had benign endometrial lesions.The endometrial thickness(ET)detected by vaginal ultrasound in patients with endometrial cancer was higher than that in patients with benign lesions(P<0.05);the endometrial vascular index(VI),blood flow index(FI),and vascular blood flow index(VFI)detected by 3D-TVS Render imaging were higher than those in patients with benign lesions(P<0.05);ROC curve results show that the AUC of ET,VI,FI,and VFI combined diagnosis for endometrial lesions was 0.968,higher than the single diagnosis of each indicator.Conclusions Transvaginal ultrasound combined with 3D-TVS Render imaging has higher diagnostic value for endometrial lesions,which is worthy of clinical promotion and application.

Endometrial lesionsVaginal ultrasoundThree-dimensional ultrasound Render imagingDiagnostic value

杨丽娜、张改琴、高伟霞

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新郑天佑医院超声科,河南新郑 451100

子宫内膜病变 阴道超声 三维超声Render成像 诊断价值

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(5)
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