Ultrasound diagnosis and misdiagnosis of endometrial polyps

CAI Qi; SUI Long; REN Yunyun

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Ultrasound diagnosis and misdiagnosis of endometrial polyps

更新时间：2025-12-15

- Ultrasound diagnosis and misdiagnosis of endometrial polyps
- Vol. 24, Issue 4, Pages: 287-291(2015)
- 作者机构：
  
  1. 复旦大学附属妇产科医院超声科,上海,200011
  2. 复旦大学附属妇产科医院宫颈疾病诊疗中心,上海,200011
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published Online：19 January 2016，
  
  Published：19 January 2016
- 稿件说明：
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蔡琪,隋龙,任芸芸. 子宫内膜息肉的超声诊断价值及误诊分析[J]. 肿瘤影像学, 2015, 24(4): 287-291
DOI：

蔡琪,隋龙,任芸芸. 子宫内膜息肉的超声诊断价值及误诊分析[J]. 肿瘤影像学, 2015, 24(4): 287-291 DOI：

摘要

目的：

探讨经阴道彩色多普勒超声对子宫内膜息肉的诊断价值及误诊分析。

方法：

回顾性分析281例经阴道彩色多普勒超声诊断为子宫内膜息肉患者的宫腔内二维灰阶及彩色多普勒超声声像图表现，并与宫腔镜检查及病理结果对照，探讨子宫内膜息肉的超声声像图特征及误诊分析。

结果：

281例经阴道彩色多普勒超声诊断为子宫内膜息肉并经宫腔镜及病理确诊的患者中，符合223例，占79.4%；误诊58例，误诊率为20.6%。其中内膜增生34例、宫腔粘连12例、子宫黏膜下肌瘤9例、子宫内膜癌2例、子宫腺纤维瘤1例。

结论：

经阴道彩色多普勒超声作为无创性、可重复性检查，对子宫内膜息肉诊断具有较高的临床价值，但需与内膜增生、宫腔粘连、黏膜下肌瘤及子宫内膜癌鉴别。

Abstract

Objective:

To investigate the diagnosis and misdiagnosis of endometrial polyps by transvaginal color Doppler ultrasound.

Methods:

A retrospective analysis of 281 cases diagnosed as uterine endometrial polyps with transvaginal color Doppler ultrasound was made. The results were confirmed by hysteroscopy and pathology. The sonographic features and misdiagnosis of endometrial polyps were explored.

Results:

Among 281 cases

223 cases (79.4％) were accurately diagnosed by transvaginal color Doppler ultrasound

while 58 cases (20.6％) were misdiagnosed. The diseases misdiagnosed included endometrium hyperplasia

intrauterine adhesion

submucous myoma

endometrial cancer and uterine fibroid.

Conclusion:

Transvaginal color Doppler ultrasound is a non-invasive

repeatabl

e inspection with high clinical value in the diagnosis of endometrial polyps

but endometrial polyps should be differentiated from endometrium hyperplasia

intrauterine adhesion

submucous myoma and endometrial cancer.

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