Analysis of Misdiagnosis of Endometrial Polyps under Vaginal Ultrasonography

Yanfen LV; Yanling HUANG; Fei XU; Linkun TA; Jingqiu ZHANG; Yongping LU

doi:10.12259/j.issn.2095-610X.S20220412

Volume 43 Issue 4

Apr. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(4): 89-92

Yanfen LV, Yanling HUANG, Fei XU, Linkun TA, Jingqiu ZHANG, Yongping LU. Analysis of Misdiagnosis of Endometrial Polyps under Vaginal Ultrasonography[J]. Journal of Kunming Medical University, 2022, 43(4): 89-92. doi: 10.12259/j.issn.2095-610X.S20220412

Citation:

Yanfen LV, Yanling HUANG, Fei XU, Linkun TA, Jingqiu ZHANG, Yongping LU. Analysis of Misdiagnosis of Endometrial Polyps under Vaginal Ultrasonography[J]. Journal of Kunming Medical University, 2022, 43(4): 89-92. doi: 10.12259/j.issn.2095-610X.S20220412

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Analysis of Misdiagnosis of Endometrial Polyps under Vaginal Ultrasonography

doi: 10.12259/j.issn.2095-610X.S20220412

Affiliated Hospital of Yunnan University，Dept. of Ultrasound，The 2nd People’s Hospital of Yunnan Province，Kunming Yunnan 650021，China

Received Date: 2022-01-01
Available Online: 2022-03-15
Publish Date: 2022-04-25

Abstract

Abstract

Objective To evaluate the misdiagnosis rate of endometrial polyps by ultrasound imaging, and to explore simple, cost-effective, and time-saving ultrasound imaging methods to improve the diagnostic compliance rate of endometrial polyps. Methods A total of 484 patients with endometrial polyp ultrasound and pathological diagnosis in the Second People’s Hospital of Yunnan Province from January 2019 to May 2021 were included in the study. The patients were divided into two dimensional ultrasound group, color Doppler （CDFI） group and power Doppler （CDE） group. The pathological results were analyzed in different groups to find the misdiagnosis factors of endometrial polyps by ultrasound images. Results Compared with 2D ultrasound, CDE reduced the misdiagnosis rate [OR （95% CI）: 0.172 （0.048～0.625）] .The misdiagnosis rates of the two-dimensional ultrasound group, CDE group, and CDFI group were 33.3%, 7.9%, and 46.0%, respectively （P < 0.001）. Conclusions Based on two-dimensional ultrasound, the application of CDE can reduce the misdiagnosis rate of endometrial polyps and provide clinicians with valuable information in a short time.
- Endometrial polyps,
- Vaginal ultrasound,
- Misdiagnosis and missed diagnosis analysis

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References(14)

References

[1]	张嘉洁, 张静, 张嘉丽, 等子宫内膜息肉、黏膜下肌瘤、内膜癌超声及病理鉴别诊断[J]. 中国超声医学杂志, 2016, 32（11）: 1015-1018.
[2]	陈会娟经阴道彩色多普勒超声对老年性子宫黏膜下肌瘤与子宫内膜息肉的鉴别诊断意义[J]. 基层医学论坛, 2020, 24 （19）: 2759-2760
[3]	Vitale S G,Haimovich S,AS Laganà,et al. Endometrial Polyps:An evidence-based diagnosis and management guide[J]. European Journal of Obstetrics & Gynecology and Reproductive Biology,2021,260(7):70-77.
[4]	董燕,柳建华. 阴道彩色多普勒超声对子宫内膜息肉及子宫内膜癌的诊断价值[J]. 广州医科大学学报,2017,45(2):29-31. doi: 10.3969/j.issn.2095-9664.2017.02.07
[5]	严霞瑜,罗红. 卵巢和子宫骶韧带息肉样子宫内膜异位症超声表现[J]. 中国超声医学杂志,2020,36(7):665-667. doi: 10.3969/j.issn.1002-0101.2020.07.031
[6]	高敏,史铁梅,张原溪,等. 超声弹性成像在子宫内膜病变中的研究进展[J]. 中国医学影像技术,2018,34(5):783-786.
[7]	Tanos V,Berry K E,Seikkula J,et al. The management of polyps in female reproductive organs[J]. International Journal of Surgery (London,England),2017,43:7-16.
[8]	刘雨声,郭银树,段华,等. 绝经期子宫内膜息肉临床特点分析[J]. 中国微创外科杂志,2017,17(7):627-629.
[9]	任美杰,杨敬春,杜岚,等. 静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较[J]. 首都医科大学学报,2017,38(4):43-44.
[10]	曹杰,胡尚英,田立碧,等. 宫腔镜和经阴道B超对子宫内膜息肉的诊断价值[J]. 重庆医学,2017,46(24):3348-3350.
[11]	李晋. 经阴道二维及三维超声对子宫内膜息肉诊断的时效性及准确率对比分析[J]. 中外医学研究,2019,17(21):57-59.
[12]	Uglietti A,Buggio L,Farella M,et al. The risk of malignancy in uterine polyps:A systematic review and meta-analysis[J]. European Journal of Obstetrics & Gynecology and Reproductive Biology,2019,237:48-56.
[13]	Zolotukhin P,Aleksandrova A,Goncharova A,et al. Oxidative status shifts in uterine cervical incompetence patients[J]. Systems Biology in Reproductive Medicine,2014,60(2):98-104. doi: 10.3109/19396368.2013.864343
[14]	严霞瑜,罗红. 卵巢和子宫骶韧带息肉样子宫内膜异位症超声表现[J]. 中国超声医学杂志,2020,36(7):665-667.

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