经阴道彩色多普勒超声诊断子宫腺肌病的价值分析

Transvaginal Color Doppler Ultrasound Diagnosis of Aadenomyosis Value Analysis

目的：研究分析经阴道彩色多普勒超声对子宫腺肌病的诊断价值,并分析子宫腺肌病患者的超声图像特征。方法：对我院2009年7月~2012年1月收治的子宫腺肌病患者61例资料进行回顾性分析。61例患者均进行经阴道彩色多普勒超声和经腹彩色多普勒超声诊断,并均采用手术治疗。以病理诊断为金标准,观察对比经腹彩超与经阴道彩超对患者的诊断准确率。结果：子宫腺肌病患者的经阴彩超表现包括：边界不清晰、无假包膜或包膜不明显,病灶内无效暗区,子宫壁回声增粗。使用经阴彩超诊断准确58例,使用经腹彩超诊断准确50例,两组患者的诊断准确率比较有显著差异,P〈0.05,差异有统计学意义。结论：采用经阴道彩色多普勒超声对子宫腺肌病的诊断价值较高,能够更清晰地观察到患者的病灶特点,是一种有效的检查方法。

Objective：Research and analysis of transvaginal color Doppler ultrasound diagnosis of adenomyosis, and analysis of the ultrasound image characteristics of patients with adenomyosis. Methods：Our hospital adenomyosis patients admitted from July 2009 to January 2012, 61 cases were retrospectively analyzed. 61 patients underwent transvaginal color Doppler ultrasound and transabdominal color Doppler ultrasound diagnosis, and were treated by surgery. Pathological diagnosis as the gold standard, the observed contrast transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound diagnostic accuracy of patients. Results：Patients with adenomyosis vaginal ultrasound findings include：the boundary is not clear, pseudocapsule or envelope obvious lesions invalid dark areas, echo thickening of the uterine wall. Using vaginal ultrasound diagnosis accurately the 58 cases, the use the transabdominal ultrasonography diagnostic accuracy of 50 cases, the diagnostic accuracy rate of the two groups of patients there is a significant difference, P〈0.05, the difference was statistically significant. Conclusion：Transvaginal color Doppler ultrasound diagnosis of adenomyosis value is higher, can be more clearly observed characteristics of the patient’s lesions, an effective inspection methods.