Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5037-5045
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5037
Diagnostic value of different color ultrasound diagnostic method in endometrial lesions
Xiao-Lin Lin, Dong-Sheng Zhang, Zhi-Ye Ju, Xiu-Ming Li, Yao-Zhu Zhang
Xiao-Lin Lin, Dong-Sheng Zhang, Department of Ultrasound, Pingyi County Traditional Chinese Medicine Hospital, Linyi 273300, Shandong Province, China
Zhi-Ye Ju, Yao-Zhu Zhang, Department of Ultrasound, Rizhao Peoples Hospital, Rizhao 276800, Shandong Province, China
Xiu-Ming Li, Department of Gastroenterology, Pingyi County Traditional Chinese Medicine Hospital, Linyi 273300, Shandong Province, China
Author contributions: Zhang YZ and Lin XL designed this retrospective study; Lin XL and Zhang DS wrote this paper; Lin XL, Zhang DS, Ju ZY and Li XM were responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the Scientific Research Ethics Committee of Shandong Pingyi County Hospital of Traditional Chinese Medicine Institutional Review Board (approval No. 201803-016).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yao-Zhu Zhang, MD, Attending Doctor, Department of Ultrasound, Rizhao Peoples Hospital, No. 126 Taian Road, Rizhao 276800, Shandong Province, China. yaozhu_zh2020@126.com
Received: December 15, 2020
Peer-review started: December 15, 2020
First decision: January 17, 2021
Revised: January 28, 2021
Accepted: March 10, 2021
Article in press: March 10, 2021
Published online: July 6, 2021
Processing time: 190 Days and 21.6 Hours
Abstract
BACKGROUND

Endometrial lesions include endometrial cancer and inferior fibroids. Among them, endometrial cancer as a malignant tumor seriously endangers the life and health of patients. Ultrasonography is an important means of diagnosing female reproductive system diseases, and it is of critical value for the early diagnosis of endometrial cancer. However, different ultrasound inspection programs have achieved different results. It is of great significance to choose a suitable inspection program.

AIM

To explore the diagnostic efficacy of different ultrasonic examination methods in clinical endometrial lesions.

METHODS

The 140 patients with endometrial lesions who were treated in our hospital from April 2018 to October 2019 were used as the research subjects. All patients underwent transvaginal color ultrasound and transabdominal color ultrasound. We compared the diagnostic coincidence and image display effects of the two different examination methods, and the endometrial thickness, blood flow, uterine effusion and resistance index of different diseases were observed by transvaginal color ultrasound.

RESULTS

The diagnostic coincidence rate of all types of diseases of transvaginal color ultrasound was significantly higher than that of transabdominal color ultrasound (P = 0.001, 0.005, 0.001 and 0.001). In addition, the excellent and good rate of image display of transvaginal color ultrasound was higher than that of transabdominal color ultrasound (P = 0.001). There were significant differences in endometrial thickness in patients with different types of endometrial lesions through the transvaginal color examination (P = 0.001). The incidence rate of uterine effusion in patients with endometrial carcinoma was significantly higher than that in patients with other types of endometrial lesions (P = 0.001), and the rate of the blood flow was the highest (P = 0.001). The comparison of blood flow resistance index indicated that the blood flow resistance index in endometrial cancer patients was the lowest, which shows that the difference was statistically significant (P = 0.001).

CONCLUSION

The overall diagnostic efficacy of transvaginal color ultrasound in the clinical diagnosis of endometrial lesions is better than that of transabdominal color ultrasound, which held higher diagnostic coincidence rate and image display effect. There were significant differences in the thickness of the endometrium and the blood flow in different types of lesions.

Keywords: Endometrial lesions; Transvaginal color ultrasound; Transabdominal color ultrasound; Diagnostic conformity; Blood flow; Resistance index

Core Tip: Ultrasonography is an important means of diagnosing female reproductive system diseases, and it is of critical value for the early diagnosis of endometrial cancer. We explored the diagnostic efficacy of different ultrasonic examination methods in clinical endometrial lesions. The display effect of the patients with clinical endometrial lesions who received transvaginal color ultrasound examination was better than that of patients who received transabdominal color ultrasound, and the diagnostic coincidence rate was higher.