经阴道彩色多普勒超声血流显像诊断子宫肌瘤的应用分析

Application Analysis of Transvaginal Color Doppler Ultrasound in Diagnosis of Uterine Fibroids

文章探讨经阴道彩色多普勒超声血流显像(CDFI)诊断子宫肌瘤的临床价值。选取经手术后病理学证实为子宫肌瘤的患者100例作为肌瘤组、50例子宫肉瘤患者作为肉瘤组,统计对比两组患者的超声声像特征、血流分布情况,并以病理学结果作为标准分析CDFI在鉴别诊断子宫肌瘤与子宫肉瘤方面的价值。肌瘤组的瘤体边界清晰率、肌瘤内部实性表现、组织低回声检出率高于肉瘤组(P<0.05);肌瘤组的血流信号稀疏率78.00%、无血流信号率13.00%、血流信号丰富率9.00%,肉瘤组的血流信号稀疏率52.00%、无血流信号率4.00%、血流信号丰富率44.00%(P<0.05);声像特征鉴别诊断子宫肌瘤与肉瘤的灵敏度为82.00%、特异度为60.00%;血流信号鉴别诊断子宫肌瘤与肉瘤的灵敏度为68.00%、特异度为80.00%;声像特征联合血流信号鉴别诊断子宫肌瘤与肉瘤的灵敏度为93.00%、特异度为76.00%。通过对子宫肌瘤与子宫肉瘤的声像特征、血流信号进行分析,可以有效地鉴别诊断子宫肌瘤与子宫肉瘤。

The purpose of this study is to investigate the clinical value of transvaginal color Doppler flow imaging(CDFI)in the diagnosis of uterine fibroids.100 patients with uterine fibroids were selected as fibroids group and 50 patients with uterine sarcoma were selected as the sarcoma group,all of them confirmed by pathology.The ultrasound imaging characteristics and blood flow distribution of the two groups of patients were compared.The pathological results were used as the standard to analyze the value of CDFI in the differential diagnosis of uterine fibroids and uterine sarcomas.The rate of definition of tumor body boundary,internal solid appearance of fibroids,and the detection rate of hypoechoic tissue in the fibroids group were higher than those in the sarcoma group(P<0.05).The blood flow signal sparse rate of the fibroids group was 78.00%,no blood flow signal rate was 13.00%,and rich blood flow signal rate was 9.00%.The blood flow signal sparse rate of the sarcoma group was 52.00%,no blood flow signal rate was 4.00%,and rich blood flow signal rate was 44.00%(P<0.05).The sensitivity and specificity of the differential diagnosis of uterine fibroids and sarcomas are 82.00%and the specificity is 60.00%by the sound image characteristics;the sensitivity and the specificity are 68.00%and 80.00%for the differential diagnosis of uterine fibroids and sarcomas by the blood flow signal;The sensitivity of signal differential diagnosis of uterine fibroids and sarcomas is 93.00%,and the specificity is 76.00%By analyzing the sound image characteristics and blood flow signals of uterine fibroids and uterine sarcomas,it is possible to effectively differentially diagnose uterine fibroids and uterine sarcomas.