Volume 21 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1370-1373
CHEN Xianqiu, JIN Weiwei. The value of transvaginal two-dimensional ultrasound combined with three-dimensional energy Doppler in differentiating endometrial lesions in postmenopausal women[J]. Chinese Journal of General Practice, 2023, 21(8): 1370-1373. doi: 10.16766/j.cnki.issn.1674-4152.003125
Citation: CHEN Xianqiu, JIN Weiwei. The value of transvaginal two-dimensional ultrasound combined with three-dimensional energy Doppler in differentiating endometrial lesions in postmenopausal women[J]. Chinese Journal of General Practice, 2023, 21(8): 1370-1373. doi: 10.16766/j.cnki.issn.1674-4152.003125
shu

The value of transvaginal two-dimensional ultrasound combined with three-dimensional energy Doppler in differentiating endometrial lesions in postmenopausal women

doi: 10.16766/j.cnki.issn.1674-4152.003125
  • 1.

    Department of Ultrasound, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY923

  • Received Date: 2022-11-26
    Available Online: 2023-09-13
    Abstract
  •   Objective  To analyze the value of transvaginal two-dimensional ultrasound combined with three-dimensional energy Doppler in the differentiation of endometrial lesions in postmenopausal women.  Methods  A total of 214 postmenopausal patients with endometrial disease in the Department of Gynecology of Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine were selected as the research objects. The patients were divided into benign lesion group (109 cases), atypical hyperplasia group (68 cases) and endometrial cancer group (37 cases) according to the pathological examination results. All subjects underwent transvaginal ultrasound to obtain endometrial thickness, two-dimensional blood flow classification, three-dimensional power Doppler blood flow.  Results  The endometrial thickness of the benign lesion group, the atypical hyperplasia group and the endometrial cancer group was gradually thickened (F=15.392, P < 0.001), the vascular index (VI), flow index (FI) and vascular flow index (VFI) were gradually increased (all P < 0.001), and the flow grade 2 and 3 was gradually increased (Z=5.994, P < 0.001). BMI, endometrial thickness, blood flow grade 3, and VFI were risk factors for the progression of endometrial lesions (OR=2.555, 1.941, 1.858, 2.450, all P < 0.05). Endometrial thickness and blood flow grade 3 had differential value between benign endometrial lesions and atypical hyperplasia (AUC=0.770, 0.811, P < 0.05). Endometrial VFI had differential value between benign endometrial lesions and atypical hyperplasia, atypical hyperplasia and endometrial cancer (AUC=0.793, 0.859, P < 0.001). In the cases of endometrial thickness > 7.6 cm, blood flow grade 3 and VFI > 11, the coincidence rates of 1, 2 and 3 with pathological diagnosis were 61.5%, 70.7% and 90.8%, respectively.  Conclusion  Endometrial thickness, blood flow grading combined with VFI has a good value in differentiating the types of endometrial lesions in postmenopausal women.

     

    • FullText(HTML)
  • loading
    • References(15)
  • [1]
    ELHUSSINY M E, OMAR N, RAGEH K A, et al. Endometrial biopsy in females with abnormal uterine bleeding: clinical and histopathological patterns[J]. Medical Science, 2021, 25(110): 891-899.
    [2]
    中国抗癌协会妇科肿瘤专业委员会. 子宫内膜癌诊断与治疗指南(第四版)[J]. 中国实用妇科与产科杂志, 2018, 34(8): 880-886. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201808016.htm

    Chinese Anti-Cancer Association gynecological tumor professional Committee. Guidelines to the diagnosis and treatment of endometrial carcinoma(4th edition)[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2018, 34(8): 880-886. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201808016.htm
    [3]
    王珠丽. 经阴道超声结合三维容积成像技术诊断子宫内膜病变的临床分析[J]. 航空航天医学杂志, 2020, 31(5): 545-547. doi: 10.3969/j.issn.2095-1434.2020.05.016

    WANG Z L. Clinical analysis of transvaginal ultrasonography combined with three-dimensional volumetric imaging in the diagnosis of endometrial lesions[J]. Journal of Aerospace medicine, 2020, 31(5): 545-547. doi: 10.3969/j.issn.2095-1434.2020.05.016
    [4]
    李孟玉, 王晓嫚, 宗珍, 等. 经阴道三维能量多普勒结合VOCAL在鉴别良性子宫内膜息肉样病变中的价值[J]. 现代实用医学, 2022, 34(4): 471-473. doi: 10.3969/j.issn.1671-0800.2022.04.018

    LI M Y, WANG X M, ZONG Z, et al. Value of transvaginal three-dimensional energy Doppler combined with VOCAL in differentiating benign endometrial polypoid lesions[J]. Modern Practical Medicine, 2022, 34(4): 471-473. doi: 10.3969/j.issn.1671-0800.2022.04.018
    [5]
    TSIKOURA S, BACH A, ZERVOUDI S, et al. Controversies on transvaginal ultrasound screening for endometrial cancer in asymptomatic postmenopausal women[J]. Rev Med Chir Soc Med Nat Iasi, 2016, 120(4): 855-860.
    [6]
    谢辛, 苟文丽. 妇产科学[M]. 8版. 北京: 人民卫生出版社, 2014: 14.

    XIE X, GOU W L. Gynecology and Obstetrics[M]. 8 Edition. Beijing: People's Medical Publishing House, 2014: 14.
    [7]
    钱翠凤, 姚晓英. 278例绝经10年以上妇女子宫内膜病理结果分析[J]. 中国生育健康杂志, 2019, 30(6): 520-523, 559. doi: 10.3969/j.issn.1671-878X.2019.06.005

    QIAN C F, YAO X Y. Pathological analysis of endometrium in 278 postmenopausal women over 10 years of menopause[J]. Chinese Journal of Reproductive Health, 2019, 30(6): 520-523, 559. doi: 10.3969/j.issn.1671-878X.2019.06.005
    [8]
    王伟旭. 子宫内膜病变的超声诊断价值及影像特征分析[J]. 现代诊断与治疗, 2021, 32(23): 3817-3819. doi: 10.3969/j.issn.1001-8174.2021.23.xdzdyzl202123061

    WANG W X. Diagnostic value and image feature analysis of endometrial lesions by ultrasound[J]. Modern Diagnosis and Treatment, 2021, 32(23): 3817-3819. doi: 10.3969/j.issn.1001-8174.2021.23.xdzdyzl202123061
    [9]
    张倩, 何文杰, 宋蕾, 等. 经阴道超声联合宫腔镜技术诊断绝经后子宫出血价值[J]. 中国计划生育学杂志, 2020, 28(10): 1685-1687. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY202010044.htm

    ZHANG Q, HE W J, SONG L, et al. The value of transvaginal ultrasound combined with hysteroscopy for diagnosing postmenopausal uterine bleeding[J]. Chinese Journal of Family Planning, 2020, 28(10): 1685-1687. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY202010044.htm
    [10]
    NI J, HAN B, LIANG J, et al. Three-dimensional 3D ultrasound combined with power Doppler for the differential diagnosis of endometrial lesions among infertile women[J]. Int J Gynaecol Obstet, 2019, 145(2): 212-218. doi: 10.1002/ijgo.12787
    [11]
    周虹, 郑惠. 彩色多普勒超声检查在子宫内膜癌病情判断中的应用[J]. 山东医药, 2018, 58(19): 54-56. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201819015.htm

    ZHOU H, ZHENG H. Application of color Doppler ultrasonography in diagnosis of endometrial carcinoma[J]. Shandong Medical Journal, 2018, 58(19): 54-56. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201819015.htm
    [12]
    武艳娇, 冯金凤, 陈宇翔, 等. 超声诊断在子宫内膜癌和子宫内膜增生症鉴别诊断中的临床应用价值[J]. 中国医药, 2022, 17(5): 727-730. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202205020.htm

    WU Y J, FENG J F, CHEN Y X, et al. Clinical value of ultrasonic diagnosis in differential diagnosis of endometrial carcinoma and endometrial hyperplasia[J]. China Medicine, 2022, 17(5): 727-730. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202205020.htm
    [13]
    蔡婷婷, 徐亚芬, 舒艳, 等. 高分化子宫内膜样癌的超声诊断与病理结果对照分析[J]. 中华全科医学, 2021, 19(9): 1545-1548. doi: 10.16766/j.cnki.issn.1674-4152.002108

    CAI T T, XU Y F, SHU Y, et al. Ultrasound diagnosis and pathological analysis of highly differentiated endometrial carcinoma[J]. Chinese Journal of General Practice, 2021, 19(9): 1545-1548. doi: 10.16766/j.cnki.issn.1674-4152.002108
    [14]
    王丽, 郭艳平, 全诗敏, 等. 恶性风险模型联合三维能量超声模型对绝经后出血子宫内膜癌的预测价值[J]. 实用妇产科杂志, 2019, 35(12): 923-927. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201912017.htm

    WANG L, GUO Y P, QUAN S M, et al. Predictive Value of Malignant Risk Model Combined with Three-Dimensional Energy Ultrasonic Model for Endometrial Cancer in Women with Postmenopausal Bleeding[J]. Journal of Practical Obstetrics and Gynecology, 2019, 35(12): 923-927. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201912017.htm
    [15]
    周慧丽. 经阴道二维、三维超声造影诊断子宫内膜癌的价值及子宫内膜癌超声评分系统的初步建立[D]. 乌鲁木齐: 新疆医科大学, 2018.

    ZHOU H L. Value of transvaginal contrastation-enhanced ultrasonography in diagnosis of endometrial cancer and preliminary establishment of ultrasonic scoring system for endometrial cancer[D]. Urumqi: Xinjiang Medical University, 2018.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (350) PDF downloads(7) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return