经腹超声及阴道超声诊断子宫肌瘤的效果

Effect of Transabdominal Ultrasound and Vaginal Ultrasound in Diagnosing Uterine Fibroids

目的:探究对子宫肌瘤实施经腹超声检查和经阴道超声检查的诊断价值。方法:从2019年1月~2021年6月择取本院收治的100例疑似子宫肌瘤患者,所选患者均经腹部超声检查、阴道超声检查,并以手术病理检查结果为金标准,对这两种检查方式单独检查和联合检查的结果进行对照分析。结果:腹部超声检查诊断符合率为72.0%,阴道超声检查诊断符合率为76.0%,腹部超声联合阴道超声检查诊断符合率为96.0%。经腹部超声检查和经阴道超声检查的确诊率和误诊率对比无统计学差异,P>0.05;腹部超声联合阴道超声检查的诊断符合率高于腹部超声、阴道超声单独检查,误诊率低于腹部超声、阴道超声单独检查,P<0.05。结论:在子宫肌瘤诊断中,经腹部超声检查与经阴道超声检查联合应用可以提高诊断符合率,诊断价值显著。

Objective:To explore the diagnostic value of transabdominal ultrasonography and transvaginal ultrasonography for uterine fibroids.Methods:From January 2019 to June 2021,100 patients with suspected uterine fibroids admitted to our hospital were selected.The selected patients were examined by abdominal ultrasound and vaginal ultrasound,and the results of surgical pathology were the gold standard.The results of these two inspection methods are individually inspected and the results of joint inspections are compared and analyzed.Results:The diagnostic coincidence rate of abdominal ultrasonography was 72.0%,transvaginal ultrasonography 76.0%and abdominal ultrasonography combined with transvaginal ultrasonography 96.0%.There was no significant difference in diagnosis rate and misdiagnosis rate between transabdominal ultrasonography and transvaginal ultrasonography(P>0.05).The diagnostic coincidence rate of abdominal ultrasound combined with transvaginal ultrasound was higher than that of abdominal ultrasound and transvaginal ultrasound alone,and the misdiagnosis rate was lower than that of abdominal ultrasound and transvaginal ultrasound alone(P<0.05).Conclusion:In the diagnosis of uterine fibroids,the combined application of transabdominal ultrasonography and transvaginal ultrasonography can improve the diagnostic coincidence rate,and the diagnostic value is significant.