■宫腔镜被认为是诊断子宫内膜息肉的金标准,尺寸,息肉的数量可以表明恶性肿瘤,但是这是一种相对昂贵的方法,有一些并发症。超声检查是妇科检查的常见部分,随着技术的进步,其预测病理结果的能力增强。本研究旨在确定超声诊断子宫内膜息肉特征的准确性。
这项诊断价值研究是对300名40岁以上绝经前和绝经后子宫内膜息肉的妇女进行的,这些妇女转诊到伊斯法罕的Alzahra和Beheshti医院。经阴道超声检查子宫内膜息肉的特征,并将宫腔镜和活检标本送去病理评估。
■在这项研究中,对103名绝经前妇女和197名绝经后妇女进行了评估。4例绝经前妇女(2%)和2例绝经后妇女(2%)经病理证实为恶性肿瘤。在宫腔镜和超声检查中,绝经后和绝经前妇女的血管分布频率显着不同,但是息肉的其他特征没有显着差异。超声波灵敏度检测血管的存在,息肉大于1.5毫米,超过1个息肉,椎弓根的存在率分别为39.04、57.38%,91.93和94.95%,分别,其特异性分别为98.94、36.47、99.57和98.89%。
■超声和宫腔镜检查两种方法对息肉特征的比较表明,宫腔镜在诊断恶性肿瘤方面更有效,而超声在诊断大小和血管方面没有可接受的敏感性。
UNASSIGNED: Hysteroscopy is known as the gold standard for endometrial polyps diagnosis and its findings on vascularity, size, and number of polyps can indicate malignancy, but it is a relatively expensive method with some complications. Ultrasound is a common part of the gynecological examination, and with technological advances, its ability to predict pathological outcomes has increased. This study aimed to determine the accuracy of ultrasound in diagnosing the characteristics of endometrial polyps.
UNASSIGNED: This diagnostic value study was performed on 300 premenopausal and postmenopausal women over 40 years of age with endometrial polyps referred to Alzahra and Beheshti hospitals in Isfahan. The characteristics of endometrial polyps were evaluated by transvaginal ultrasonography and
hysteroscopy and biopsy specimens were sent for pathological evaluations.
UNASSIGNED: In this study, 103 premenopausal women and 197 postmenopausal women were evaluated. Malignancy was confirmed by pathology in 4 premenopausal women (2%) and 2 postmenopausal women (2%). In both
hysteroscopy and ultrasound methods, the frequency of vascularity was significantly different in postmenopausal and premenopausal women, but the other features of the polyp were not significantly different in them. Ultrasonic sensitivity in detecting the presence of vascularity, polyps larger than 1.5 mm, more than 1 polyp, and the presence of pedicle were 39.04, 57.38%, 91.93 and 94.95%, respectively, its specificity were 98.94, 36.47, 99.57 and 98.89% respectively.
UNASSIGNED: A comparison of the characteristics of polyps in both ultrasound and
hysteroscopy methods shows that
hysteroscopy has been more effective in diagnosing malignancy and ultrasound has not have acceptable sensitivity in diagnosing size and vascularity.