经阴道彩色多普勒超声在子宫肌瘤和子宫腺肌症诊断中的应用价值分析

Value analysis of transvaginal color Doppler ultrasound applied in diagnosis of uterine myoma and adenomyosis

目的探讨经阴道彩色多普勒超声(彩超)在子宫肌瘤和子宫腺肌症诊断中的应用价值。方法选取经病理确诊的68例子宫肌瘤患者和68例子宫腺肌症患者作为研究对象,所有患者均经腹部及经阴道彩超检查,比较经腹部和经阴道彩超的诊断结果,分析患者经阴道彩超图像特点,并比较子宫肌瘤患者和子宫腺肌症患者的血流动力学指标[收缩期峰值血流速度(Vs)、舒张期末血流速度(Vd)及阻力指数(RI)]。结果经阴道彩超对子宫肌瘤和子宫腺肌症患者的诊断正确率分别为92.6%、91.2%,均高于经腹部彩超的76.5%、63.2%,差异均有统计学意义(P<0.05)。子宫肌瘤患者的Vs、Vd、RI分别为(44.84±0.36)cm/s、(5.92±0.06)cm/s、(0.81±0.07),子宫腺肌症患者的Vs、Vd、RI分别为(44.91±0.37)cm/s、(5.91±0.05)cm/s、(0.53±0.08);子宫肌瘤患者和子宫腺肌症患者的Vs、Vd水平比较差异无统计学意义(P>0.05),子宫肌瘤患者的RI水平显著高于子宫腺肌症患者,差异有统计学意义(P<0.05)。结论经阴道彩超在诊断子宫肌瘤和子宫腺肌症中均有较高的诊断价值,两种疾病可通过超声图像及血流动力学进行鉴别诊断,值得推广。

Objective To discuss the application value of transvaginal color Doppler ultrasound applied in diagnosis of uterine myoma and adenomyosis. Methods A total of 68 cases of uterine myoma and 68 cases of adenomyosis confirmed by pathology were selected as the study subjects, and they were examined by abdominal and transvaginal color Doppler ultrasound. The diagnostic results of traps abdominal and transvaginal color Doppler ultrasound were compared,and the characteristics of transvaginal color Doppler ultrasound were analyzed.The hemodynamic indexes[peak systolic flow velocity(Vs),end diastolic flow velocity(Vd) and resistance index(RI)]of patients with uterine myoma and adenomyosis were compared. Results Transvaginal color Doppler ultrasound shows high diagnostic accuracy for uterine myoma and adenomyosis respectively as 92.6% and 91.2%than 76.5% and 63.2% by trans abdominal color Doppler ultrasound,and the difference was statistically significant(P<0.05). Uterine myoma patients had Vs,Vd and RI respectively as(44.84±0.36) cm/s,(5.92±0.06) cm/s and(0.81 ±0.07),which were(44.91 ±0.37) cm/s,(5.91±0.05) cm/s and(0.53±0.08) respectively in adenomyosis patients.Uterine myoma and adenomyosis patients had no statistically significant difference in Vs and Vd(P>0.05).Uterine myoma patients had significantly higher RI than adenomyosis patients,and the difference was statistically significant(P<0.05). Conclusion Transvaginal color Doppler ultrasound shows both high value in diagnosis of uterine myoma and adenomyosis. The two diseases can be differentially diagnosed by ultrasound image and hemodynamics.This method is worthy of promotion.