【摘要】 目的 评价经阴道三维超声宫腔造影对子宫内膜病变的诊断价值。方法 应用阴道方式三维超声对子宫不规则出血60例患者进行宫腔内生理盐水灌注后扫查，并与宫腔镜检查及病理结果对照。结果 36例诊断子宫内膜息肉，14例诊断黏膜下肌瘤，6例子宫内膜增生，4例子宫内膜癌。宫腔造影敏感度为100%，特异度90%，宫腔镜敏感度100%，特异度93%。结论 经阴道三维超声宫腔内灌注显影方法简便、易行、准确率高，是诊断子宫内膜病变的可行方法。

    【关键词】 三维超声，经阴道；子宫不规则出血

    Diagnosis of endometrial lesions by there-dimensional ultrasonic hysterography

    LI Ming，TAO Ning.Department of Ultrasonography, Liaoning Provincial Friendship Hospital ,Shenyang 110015,China

    【Abstract】 Objective To evaluate the diagnostic value of transvaginal three-dimensional ultrasonic hysterography on endometrial lesions.Methods We examined 60 women after intrauterine injection by transvaginal ultrasound(all of these cases suffered from uterine irregular bleeding).Then we compared the ultrasonic results with those of the hysteroscopy and pathology.Results Eighteen cases were diagnosed as endometrial polyp,7 cases as submucous myoma ,3 case as endometrial hyperplasia and 2 cases as endometrial carcinoma .The sensitivity of hysterography was 100%,and the specificity was 90%.The sensitivity of hysteroscopy was100%,and the specificity was 93%.Conclusion Transvaginal three-dimensional ultrasonic hysterography is a simple and convenient method with high accuracy, and can be regarded as a feasible way to diagnose endometrial lesions. ......