不同的超声检查方式对子宫肌瘤分型的应用价值

The Application Value of Different Ultrasonic Examination Methods in the Classification of Uterine Myoma

目的:分析不同超声检查方式对子宫肌瘤分型的诊断价值。方法:随机选取2018年12月~2020年12月本院接收的子宫肌瘤患者100例作为研究对象,均行经腹超声、经阴道超声检查,并以手术病理结果分型为标准,分析经腹超声、经阴道超声以及经腹超声联合经阴道超声诊断的结果。结果:经腹部超声诊断子宫肌瘤分型0型准确3例、1型准确4例、2型准确5例、3型准确9例、4型准确21例、5型准确12例、6型准确11例、7型准确4例,2-5型7例,共计准确76例,分型诊断准确性76.00%,Kappa值=0.482,具有一致性。经阴道超声诊断子宫肌瘤分型0型准确4例、1型准确6例、2型准确7例、3型准确10例、4型准确23例、5型准确13例,6型准确12例、7型准确3例,2-5型7例,共计准确85例,分型诊断准确性85.00%,Kappa值=0.577,具有一致性。经腹超声联合经阴道超声诊断子宫肌瘤分型0型准确5例、1型准确8例、2型准确8例、3型准确11例、4型准确24例、5型准确15例、6型准确15例、7型准确4例,2-5型8例,共计准确98例,分型诊断准确性98.00%,Kappa值=0.843,一致性较好。经腹超声联合经阴道超声诊断子宫肌瘤分型准确性高于经腹超声、经阴道超声,差异有统计学意义(P<0.05)。结论:在子宫肌瘤患者分型诊断中,应用经腹超声联合经阴道超声诊断效果显著,可有效反映患者肌瘤位置信息,分型诊断准确性高。

Objective:To evaluate the diagnostic value of different ultrasonic examination methods in the classification of uterine myoma.Methods:100 cases of hysteromyoma received by our hospital from December 2018 to December 2020 were randomly selected as the subjects.All patients were examined by abdominal ultrasound and transvaginal ultrasound.The results of transabdominal ultrasound,transvaginal ultrasound and transvaginal ultrasound combined with transvaginal ultrasound were analyzed according to the classification of surgical pathological results.Results:Transabdominal ultrasound diagnosis of uterine fibroids was accurate in 3 cases of type 0,accurate in 4 cases of type 1,accurate in 5 cases of type 2,accurate in 9 cases of type 3,accurate in 21 cases of type 4,accurate in 12 cases of type 5,and accurate in type 6.11 cases,4 cases of type 7 were accurate,and 7 cases of type 2-5,a total of 76 cases were accurate,the diagnostic accuracy of typing was 76.00%,and the Kappa value=0.482,which was consistent.Transvaginal ultrasound diagnosis of uterine fibroids was accurate in 4 cases of type 0,6 cases of type 1,7 cases of type 2,10 cases of type 3,23 cases of type 4,13 cases of type 5,and 12 cases of type 6.3 cases of type 7 were accurate,7 cases of type 2-5 were accurate,a total of 85 cases were accurate,the diagnostic accuracy of typing was 85.00%,and the Kappa value=0.577,which was consistent.Transabdominal ultrasonography combined with transvaginal ultrasonography was accurate in 5 cases of type 0,8 cases of type 1,8 cases of type 2,11 cases of type 3,24 cases of type 4,15 cases of type 5,and 6 cases of type 5.Type 7 was accurate in 15 cases,type 7 was accurate in 4 cases,and type 2-5 was in 8 cases,a total of 98 cases were accurate.The accuracy of transabdominal ultrasonography combined with transvaginal ultrasonography in diagnosing uterine fibroids was higher than that of transabdominal ultrasonography and transvaginal ultrasonography,and the difference was statistically significant(P<0.05).Conclusion:In the classification diagnosis of uterine myoma,the application of abdominal ultrasound combined with transvaginal ultrasound is effective in the diagnosis of myoma,which can effectively reflect the location information of the patients with myoma,and the accuracy of classification diagnosis is high.