Keywords
Endometrial polyps
Diagnosis
Effect
Detection status
Submitted : 2023-11-26
Accepted : 2023-12-11
Published : 2023-12-26
Abstract
Objective: To discuss the clinical effectiveness of intracavitary three-dimensional ultrasound in diagnosing endometrial polyps and evaluate its detection status. Methods: A total of 155 patients with suspected endometrial polyps underwent examination using the GE-Voluson-E10 three-dimensional ultrasound diagnostic instrument at the Department of Ultrasound Medicine in Lijiang People’s Hospital. Among them, 92 cases underwent intracavitary three-dimensional ultrasound examination between November 1, 2022, and June 2, 2023. Using histopathological results as the diagnostic criteria, a retrospective analysis was conducted on the clinical effects of intracavitary three-dimensional ultrasound diagnosis in patients with endometrial polyps. Results: Intracavitary three-dimensional ultrasound examination of 92 patients with suspected endometrial diseases revealed that 32 patients were diagnosed with endometrial polyps, including 9 with single lesions and 23 with multiple lesions, with a polyp diameter range of 3–16 mm. The examination displayed clear arc-shaped edges of the polyps in the endometrium. The section diameter was less than 16 mm, and the echo was relatively strong. The base of the uterine cavity was relatively narrow, and the endometrium line was neat. Color Doppler revealed strip-like or dot-like colored blood flow signals in the center and base. Among the 92 patients with suspected endometrial polyps, 30 cases were confirmed by histopathology, and 32 cases were confirmed by intracavitary three-dimensional ultrasound. The sensitivity of intracavitary three-dimensional ultrasound in diagnosing endometrial polyps was 100.00% (30/30), the specificity was 96.77% (60/62), and the accuracy was 97.83% (90/92). Conclusion: The application of intracavitary three-dimensional ultrasound in the diagnosis of endometrial polyps yielded significant diagnostic results. It provided detailed morphology of the endometrium, delivering vivid and three-dimensional imaging images. The diagnostic efficiency was high and consistent with pathological and histological diagnoses.
References
Ma H, Xie J, Dong L, 2023, Comparison of the Value of Transabdominal Two-Dimensional Ultrasound and Transvaginal Color Doppler Ultrasound in the Early Diagnosis of Endometrial Polyps. Clinical Medicine, 43(7): 83–85.
Yang S, 2023, The Clinical Value of Three-Dimensional Reconstruction of Transvaginal Color Doppler Ultrasound in the Diagnosis of Endometrial Polyp and Endometrial Hyperplasia. Chinese Medical Device Information, 29(6): 109–111.
Liang X, Lu F, Xu Y, et al., 2022, Comparison of the Diagnostic Value of Transvaginal Three-Dimensional Ultrasound and Two-Dimensional Ultrasound for Endometrial Polyps. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 32(22): 76–78.
Shi L, 2022, Clinical Value of Transabdominal and Transvaginal Two-Dimensional Ultrasound Combined with Vaginal Three-Dimensional Ultrasound in the Diagnosis of Endometrial Polyps. Chinese Contemporary Medicine, 29(31): 140–143.
Liu Q, 2022, Clinical Analysis of Transvaginal Three-Dimensional Power Doppler Ultrasound Combined with Gynecologic Ultrasonography Endometrial Polyp. Journal of Aerospace Medicine, 33(9): 1043–1045.
Long F, Zhang H, Wen J, et al., 2020, The Impact of Transvaginal Three-Dimensional Ultrasound Examination Combined with Hysteroscopy Diagnosis and Treatment on the Outcomes of In Vitro Fertilization and Embryo Transfer in Patients with Uterine Cavity and/or Endometrial Lesions. Guangxi Medicine, 42(21): 2785–2789.
Zhao W, Liu Z, Chang C, 2010, The Differential Diagnostic Value of Endometrial Volume and Three-Dimensional Power Doppler for Endometrial Polyps and Endometrial Hyperplasia. Chinese Journal of Ultrasound Imaging, 2010(1): 40–42.
Zhang Y, Wan N, Wen S, et al., 2017, Discussion on the Clinical Value of Transvaginal Three-Dimensional Ultrasound Technology in the Clinical Diagnosis of Endometrial Lesions. Journal of Medical Imaging, 27(7): 1335–1337.
Zhang M, Ju R, Guo R, et al., 2022, Research on the Application of Transvaginal Three-Dimensional Ultrasound in the Diagnosis of Endometrial Polyps and Malignant Transformation of Endometrial Polyps. Beijing Medicine, 44(3): 276–278.
Wu W, Huang Y, Liu Y, et al., 2017, The Differential Diagnostic Value of Vaginal Three-Dimensional Ultrasound in Premenopausal Endometrial Polyps and Analysis of the Causes of Misdiagnosis. Chinese Journal of Endemic Disease Prevention and Control, 32(11): 1312.
Cao C, Zhai H, Zhou J, et al., 2023, Application of Intracavitary Three-Dimensional Ultrasound in the Diagnosis of Endometrial Polyps. Chinese Science and Technology Journal Database (Full Text) Medicine and Health, 2023(5): 29–32.
Deng X, Tian H, Ning X, 2022, Comparison of the Diagnostic Effectiveness of Transvaginal Three-Dimensional Ultrasound Render Imaging and Omniview Imaging Technology for Uterine Cavity Diseases. Chinese Journal of Ultrasound Medicine, 38(2): 184–188.
Hu B, Lai G, Shi L, et al., 2019, Differential Diagnosis of Endometrial Polyps by Abdominal and Transvaginal Ultrasonography Combined with Three-Dimensional Ultrasonography. Chinese Contemporary Medicine, 27(6): 140–142 + 146.
Xiao L, Ma Z, Zhang L, et al., 2019, Research on the Differential Diagnosis of Endometrial Polyps and Proliferative Endometrium by Transvaginal Three-Dimensional Ultrasound. Corps Medicine, 2019(2): 48–50.
Peng H, Chen X, Xiao X, et al., 2019, Diagnostic Value of Transvaginal Three-Dimensional Ultrasound Free Anatomical Imaging Technology for Endometrial Polyps. Imaging Research and Medical Applications, 3(5): 24–25.