经阴道超声与经腹部超声诊断子宫肌瘤的价值探究

The value of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of uterine fibroids

目的:分析经阴道超声和经腹部超声在子宫肌瘤患者诊断中的临床应用价值。方法:将我院2018年3月—2019年3月诊断的100例子宫肌瘤患者为研究对象,将检查的结果与手术病理进行对照,判断各种检查方式的优劣。结果:与经腹部超声检查的68.0%的准确率相比,经阴道超声检查的准确率(92.0%)明显较高,联合检查诊断率(100%)最高,均P<0.05;经腹部检查的漏诊率为3.0%明显低于经腹部超声检查(17.0%),联合检查漏诊率最低为0.0%,均P<0.05,组间比较差异显著。结论:在子宫肌瘤的诊断中,经阴道超声诊断具有较明显的血流信号特点,与经腹部超声相比诊断准确率明显较高,将两种诊断方式联合应用使子宫肌瘤的检出率得到了显著的提升,漏诊率大大降低。

Objective To analyze and explore the clinical application value of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of uterine fibroids.Methods 100 patients with uterine fibroids diagnosed in our hospital from March 2018 to March 2019 were included in the study.The results of the examination were compared with the surgical pathology to determine the advantages and disadvantages of various examination methods.Results Compared with the 68.0%accuracy rate of transvaginal ultrasonography,the accuracy rate of transvaginal ultrasonography(92.0%)was significantly higher,and the diagnostic rate of combined ultrasonography(100%)was the highest,all P<0.05.The rate of missed diagnosis in abdominal examination was 3.0%,which was significantly lower than that in abdominal ultrasound examination(17.0%),and the rate of missed diagnosis in combined examination was 0.0%,both P<0.05,with significant difference between groups.Conclusion In the diagnosis of uterine fibroids,transvaginal ultrasound has more obvious characteristics of blood flow signal,compared with transabdominal ultrasound diagnosis accuracy is significantly higher,the combined application of the two diagnostic methods can significantly improve the detection rate of uterine fibroids,the rate of missed diagnosis is greatly reduced.