Detection of feeding artery improves the ultrasound diagnosis of endometrial polyps in asymptomatic patients
Detection of feeding artery improves the ultrasound diagnosis of endometrial polyps in asymptomatic patients
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DOI：
10.1016/j.ejogrb.2004.06.044
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发表时间：
2005-03-01
影响因子：
2.6
通讯作者：
Tóth, Z
中科院分区：
文献类型：
--
作者：
Jakab, A;Ovári, L;Tóth, Z
目的：探讨经阴道能量多普勒血流显像是否能提高有症状和无症状患者子宫内膜息肉的超声检出率。研究设计：41例经手术宫腔镜和组织学检查证实的子宫内膜息肉患者。术前均行灰阶超声及能量多普勒超声检查。灰阶扫描显示双层子宫内膜和详细的子宫内膜形态。能量多普勒显示子宫内膜血管分布。结果：灰阶超声诊断子宫内膜息肉20例（49%），能量多普勒超声诊断子宫内膜息肉21例，总检出率为10%（P < 0.01）。息肉的灰度检出率在无症状患者中为11/30（0.37），在有症状患者中为9/11（82%）。子宫内膜厚度无差异。能量多普勒对无症状性息肉的供血动脉检出率为97%（29/30），对有症状性息肉的供血动脉检出率为91%（10/11）。在21个息肉，其中成像的血管是唯一的诊断标记，但两个是symptomatic.Conclusion：能量多普勒增强超声检测的供血血管可以是一个简单的，非侵入性的和高效的第一线测试诊断子宫内膜息肉的无症状患者。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To investigate whether transvaginal power Doppler imaging of the vascularity improves the ultrasound detection rate of endometrial polyps in symptomatic and asymptomatic patients.Study design: Forty-one patients with endometrial polyps confirmed by operative hysteroscopy and histologic examination. They were all examined with grey-scale and subsequent power Doppler enhanced ultrasound preoperatively according to the same protocol. Double layer endometrium and detailed endometrial morphology were described at grey scale scan. With power Doppler imaging pattern of endometrial vascularity. In the presence of a single feeding artery the ultrasound diagnosis of an endometrial polyp was made.Results: With grey-scale imaging 20 polyps (49%) were recognized, while the subsequent application of power Doppler diagnosed the remaining 21 polyps increasing the overall detection rate to 10% (P < 0.01). The grey-scale detection rate for the polyp was 11/30 (0.37) in the asymptomatic patients and 9/11 (82%) in the symptomatic patients. No difference in endometrial thickness was observed. With power Doppler imaging, the detection rate for the feeding arteries was 97% (29/30) in the asymptomatic polyps and a similar 91% (10/11) in the symptomatic polyps. In the 21 polyps, where imaging of the vascularity was the only diagnostic marker, all but two were asymptomatic.Conclusion: Power Doppler enhanced ultrasound detection of the feeding vessels can be a simple, non-invasive and highly effective first line test for the diagnosis of endometrial polyps in asymptomatic patients. (c) 2004 Elsevier Ireland Ltd. All rights reserved.