经腹部彩超与经阴道彩超诊断子宫肌瘤的临床价值

Clinical value of transabdominal color ultrasound and transvaginal color ultrasound in diagnosis of uterine fibroids

目的探讨经腹部彩超与经阴道彩超诊断子宫肌瘤的临床价值。方法选取2016年1月至2017年12月于我院妇科治疗的100例子宫肌瘤患者为研究对象,均进行阴道超声检查及腹部超声检查,比较不同检查方法子宫肌瘤的漏诊率及不同部位子宫肌瘤检出率。结果 100例子宫肌瘤患者均最终经过手术病理结果证实,其中阴道超声检查出子宫肌瘤98例,漏诊率为2.00%;腹部超声检查出子宫肌瘤94例,漏诊率为6.00%,两种检查方法子宫肌瘤漏诊率比较,差异无统计学意义(P>0.05);两种检查方法对肌壁间肌瘤、黏膜下肌瘤及阔韧带肌瘤的检出率比较,差异无统计学意义(P>0.05);阴道超声检查对浆膜下肌瘤的检出率明显高于腹部超声检查,差异具有统计学意义(P<0.05)。结论阴道超声检查和腹部超声检查对子宫肌瘤的诊断水平相近,但阴道超声检查可以提高子宫浆膜下肌瘤的诊断水平。

Objective To investigate the clinical value of transabdominal color ultrasound and transvaginal colorultrasound in diagnosis of uterine fibroids. Methods A total of 100 patients with uterine fibroids from January 2016 toDecember 2017 treated in our hospital were selected as the study objects. They were given vaginal ultrasound examinationand abdominal ultrasound examination. The missed diagnosis rates of uterine fibroids with different examination methodsand the detection rates in different parts were compared. Results All the 100 cases of patients with uterine fibroids werefinally confirmed by the results of surgical pathology, the uterine fibroids was detected by vaginal ultrasound examination in98 cases, the missed diagnosis rate was 2.00%; the uterine fibroids was detected by abdominal ultrasound examination in94 cases, the missed diagnosis rate was 6.00%, there was no significant difference in the missed diagnosis rate between thetwo examination methods（P〉0.05）. There were no significant differences in the detection rates between the two examinationmethods for the intramural myoma, submucous myoma and broad ligament myoma（P〉0.05）. The detection rate of vaginalultrasound examination for subserous myoma was significantly higher than that of abdominal ultrasound examination, the difference was statistically significant （P〈0.05）. Conclusion The diagnostic level of vagina ultrasound examination andabdominal ultrasound examination is similar in the diagnosis of uterine fibroids, but the diagnosis level of subserous myomacan be improved by vagina ultrasound examination.