The value of transvaginal ultrasound in the diagnosis of endometrial polyps and proliferative endometrium
经阴道彩超诊断子宫内膜息肉及增生期子宫内膜的价值研究

摘要

目的 明确经阴道彩超诊断子宫内膜息肉及增生期子宫内膜的价值。方法 研究纳入2023年10月-2024年10月中院内就诊的子宫内膜息肉患者33例（A组）、增生期子宫内膜患者33例（B组），采取经阴道彩超方式开展各组检查工作，分析检查结果（包括血流变化与灰阶值）。结果 相较于B组，A组血流变化数据值更高（P<0.05）。相较于B组，A组内膜灰阶值更高，肌层灰阶值与内膜灰阶值/肌层灰阶值之间数据差异不明显（P>0.05）。结论 经阴道彩超诊断的应用，可观察到子宫内膜息肉及增生期子宫内膜不同类型患者血流变化、内膜灰阶值存在异常，可为两种疾病鉴别判断提供重要参考。

Abstract

Objective To clarify the value of transvaginal color Doppler ultrasound in diagnosing endometrial polyps and proliferative endometrium.
Methods A total of 33 patients with endometrial polyps (group A) and 33 patients with proliferative endometrium (group B) who were treated in the hospital from October 2023 to October 2024 were included in the study. Transvaginal color Doppler ultrasound was used to conduct examinations in each group, and the examination results (including blood flow changes and grayscale values) were analyzed.
Results Compared with group B, the blood flow change data value of group A was higher (P<0.05). Compared with group B, the endometrial grayscale value of group A was higher, and the data difference between the myometrial grayscale value and the endometrial grayscale value/myometrial grayscale value was not significant (P>0.05).
Conclusion   The application of transvaginal color Doppler ultrasound diagnosis can observe the abnormalities of blood flow changes and endometrial grayscale values in patients with different types of endometrial polyps and proliferative endometrium, which can provide an important reference for the differential judgment of the two diseases.