经阴道彩色多普勒超声对子宫肌瘤的诊断价值和安全性观察

Diagnostic value and safety of transvaginal color Doppler sonography in the diagnosis of uterine fibroids

目的探讨经阴道彩色多普勒超声对子宫肌瘤的诊断价值和安全性。方法200例经手术病理诊断确诊为子宫肌瘤的患者,均于术前分别安排经腹部彩色多普勒超声诊断以及经阴道彩色多普勒超声诊断,比较两种不同诊断方式的诊断准确率、子宫肌瘤检出率以及诊断检查期间的不适反应。结果经腹部彩色多普勒超声诊断准确率84.50%、子宫肌瘤检出率88.44%低于经阴道彩色多普勒超声诊断的96.50%、97.49%,差异有统计学意义(P<0.05)。经阴道彩色多普勒超声诊断的不适反应发生率为0,低于经腹部彩色多普勒超声诊断的4.5%,差异有统计学意义(P<0.05)。结论在子宫肌瘤患者的临床诊断中,经阴道彩色多普勒超声不仅可以有效提高其临床诊断准确性,同时还可以有效诊断子宫肌瘤数目,诊断安全性高,值得推广。

Objective To investigate the diagnostic value and safety of transvaginal color Doppler sonography in the diagnosis of uterine fibroids.Methods There were 200 patients with uterine fibroids diagnosed by operation and pathology.They were arranged to receive transabdominal color Doppler sonography and transvaginal color Doppler sonography before operation,respectively.The diagnostic accuracy,detection rate of uterine fibroids and the discomfort reaction during diagnosis were compared between these two different diagnostic means.Results For transabdominal color Doppler sonography,the diagnostic accuracy of was 84.50%and the detection rate of uterine fibroids was 88.44%,which were lower than 96.50%and 97.49%in the transvaginal color Doppler sonography,and the difference was statistically significant(P<0.05).The incidence of discomfort in the diagnosis with transvaginal color Doppler sonography was 0,which was lower than 4.5%in the diagnosis with transabdominal color Doppler sonography,and the difference was statistically significant(P<0.05).Conclusion In the clinical diagnosis of patients with uterine fibroids,transvaginal color Doppler sonography may not only effectively improve the accuracy of clinical diagnosis,but also effectively determine the number of uterine fibroids,with high diagnostic safety,which is worth promoting.