经腹及经阴道超声联合应用扫查子宫肌瘤对比分析

Joint use of transabdominal and transvaginal ultrasound scanning on uterine fibroid

目的:探讨经腹及经阴道超声联合应用扫查子宫肌瘤的临床价值及对比分析。方法:对2013年1月到2014年11月我院收治的155例子宫肌瘤患者的临床资料进行回顾性分析,所有患者术前均进行经腹超声、经阴道超声以及经腹和经阴道超声联合应用检查,记录并比较经腹超声、经阴道超声、经腹及经阴道超声联合应用诊断子宫肌瘤的准确率、漏诊率和误诊率。结果:经腹超声诊断子宫肌瘤壁间、壁间并浆膜下、壁间并黏膜下、黏膜下、浆膜下、阔韧带准确例数分别为36例(94.74%)、51例(94.44%)、18例(94.74%)、13例(100.00%)、13例(92.86%)、14例(82.35%);经阴道超声诊断子宫肌瘤壁间、壁间并浆膜下、壁间并黏膜下、黏膜下、浆膜下、阔韧带准确例数分别为37例(97.37%)、52例(96.30%)、19例(100.00%)、12例(92.31%)、14例(100.00%)、15例(88.24%);经腹及经阴道超声联合应用诊断子宫肌瘤壁间、壁间并浆膜下、壁间并黏膜下、黏膜下、浆膜下、阔韧带准确例数分别为38例(100.00%)、53例(98.15%)、19例(100.00%)、13例(100.00%)、14例(100.00%)、16例(94.12%);不同超声方法诊断子宫肌瘤准确率比较,差异具有统计学意义(P<0.05)。经腹超声诊断子宫肌误诊率10(6.45%),经阴道超声诊断子宫肌瘤误诊率6(3.87%),经腹及经阴道超声联合应用诊断子宫肌误诊率2(1.29%);不同超声方法诊断子宫肌瘤误诊率比较,差异具有统计学意义(P<0.05)。结论:经腹及经阴道超声联合应用扫查子宫肌瘤,可以有效减少误诊率,提高诊断的准确性。

Objectives：To explore the clinical value of joint use of transabdominal and transvaginal ultrasound scanning on uterine fibroid.Methods：The clinical data of 155 patients with uterine fibroid in our hospital from January 2013 to November 2014 were retrospectively analyzed and all the patients underwent transabdominal ultrasound,transvaginal ultrasound and both together.The accuracy rate,missed diagnosis rate and misdiagnosis rate of the three groups were compared.Results：The accuracy rate in transabdominal ultrasound diagnosis of uterine fibroids intramural,intramural and subserosal,intramural and submucosal,submucosal,subserosal,broad ligament accuracy were 36 cases （94.74%）,51 cases （94.44%）,18 cases （94.74%）,13 patients （100.00%）,13 cases （92.86%） and 14 cases （82.35%） respectively;the accuracy rate in transvaginal ultrasound diagnosis of uterine fibroids intramural,intramural and subserosal,intramural and submucosal submucosal,subserosal,broad ligament accuracy were 37 cases （97.37%）,52 cases （96.30%）,19 patients （100.00%）,12 cases （92.31%）,14 cases （100.00%） 15 cases （88.24%）;the accuracy rate in joint use of transabdominal and transvaginal ultrasound diagnosis of uterine fibroids combined intramural,intramural and subserosal,intramural and submucosal,submucosal,subserosal,broad ligament accuracy were 38 cases （100.00%）,53 cases （98.15%）,19 cases （100.00%） 13 cases （100.00%） 14 cases （100.00%）,16 cases （94.12%）.Difference in accuracy diagnosis rate of uterine fibroids among the three groups was of statistical significance （P〈0.05）.The misdiagnosis rate of uterine fibroids in the three groups were 10 cases （6.45%）,6 cases （3.87%） and 2 cases （1.29%）,with statistical difference （P〈0.05）.Conclusion：Joint use of transabdominal and transvaginal ultrasound in the diagnosis of uterine fibroid can effectively reduce misdiagnosis rate and improve the accuracy rate of diagnosis.