经阴道彩色多普勒超声对深部浸润型子宫内膜异位症患者的诊断价值

Diagnostic Value of Transvaginal Color Doppler Ultrasound in Patients with Deep Infiltrating Endometriosis

目的探究经阴道彩色多普勒超声对深部浸润型子宫内膜异位症患者的诊断价值,以便为临床的诊断工作提供科学的参考依据。方法选择2017年1月至2018年10月在我院经过临床病理组织诊断确诊为深部浸润型子宫内膜异位症患者220例作为研究对象,所有患者在进行临床病理组织确诊以前均采用经阴道彩色多普勒超声诊断仪进行诊断,分析总结经阴道彩色多普勒超声诊断仪对深部浸润型子宫内膜异位症及其各个病变部位的诊断准确率。结果220例患者经过经阴道彩色多普勒超声诊断仪诊断得出,患者的病变部位共236处,诊断准确率为90.08%;进一步进行分析得出,经阴道彩色多普勒超声诊断患者的子宫内膜异位症累及宫骶骨韧带部位74例(占84.09%),累及直肠部位60例(占96.77%),累及阴道壁部位38例(占90.48%),累及阴道直肠隔部位27例(占90.00%),累及其他部位37例(占92.50%),存在多个部位联合病变16例(占38.10%),和临床病理组织诊断进行比较,差异无明显统计学意义,P>0.05,证明经阴道彩色多普勒超声诊断具有较高的诊断符合性。结论临床在对深部浸润型子宫内膜异位症患者进行诊断的过程中,通过经阴道彩色多普勒超声诊断仪进行诊断,可以提升对患者诊断的确诊率,而且此检查方法诊断准确,操作简单。

Objective To explore the diagnostic value of transvaginal color Doppler ultrasound for patients with deep infiltrating endometriosis,so as to provide a scientific reference for clinical diagnosis.Methods Two hundred and twenty patients with deep infiltrating endometriosis diagnosed in our hospital from January 2017 to October 2018 were selected as the research objects.All patients were diagnosed with transvaginal color Doppler ultrasound before the diagnosis of clinicopathological tissue,analysis and summary the diagnostic accuracy of transvaginal color Doppler ultrasound for deep infiltrating endometriosis and its various lesions.Results Two hundred and twenty patients were diagnosed by transvaginal color Doppler ultrasound diagnostic equipment,there were 236 lesions in the patients,and the diagnosis accuracy rate was 90.08%;further analysis showed that transvaginal color Doppler ultrasound diagnosis of patients with endometriosis involving the uterosacral ligament has 74 cases,accounting for 84.09%,involving the rectum has 60 cases,accounting for 96.77%,involving the vaginal wall has 38 cases,accounting for 90.48%,involving the vagina rectal septum has 27 cases,accounting for 90.00%,involving other sites has 37 cases,accounting for 92.50%,16 cases with multiple sites combined lesions,accounting for 38.10%,compared with the clinical pathological diagnosis,the difference was not statistically significant,P>0.05,which proves that transvaginal color Doppler ultrasound diagnosis has high diagnostic compliance.Conclusion In the process of clinical diagnosis of patients with deep infiltrating endometriosis,the diagnosis of transvaginal color Doppler ultrasound diagnostic equipment can improve the diagnosis rate of patients,and this examination method is accurate in diagnosis and simple in operation.