Assessing Intracavitary Three-Dimensional Ultrasound for Endometrial Polyps Diagnosis

© 2023 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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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.

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