经阴道彩色多普勒超声诊断子宫肌瘤、子宫腺肌症及腺肌瘤的效果观察

The Effect of Transvaginal Color Doppler Ultrasonography in the Diagnosis of Uterine Fibroids Adenomyosis and Adenomyoma

目的:分析经阴道彩色多普勒超声(TVCDS)诊断子宫肌瘤(UF)、子宫腺肌症(Am)及腺肌瘤的效果。方法:选取90例UF、Am及腺肌瘤患者,均行经TVCDS、经腹部彩色多普勒超声(TACDS)检查,观察诊断准确率。结果:TVCDS检查,UF、Am、腺肌瘤诊断准确率均高于TACDS检查(P<0.05)。TVCDS检查,UF、Am、腺肌瘤患者的血流动力学指标对比有统计学意义(P<0.05)。以病理结果作为金标准,TVCDS检查UF、Am、腺肌瘤灵敏度分别为93.75%、97.14%、92.31%均高于TACDS检查的92.00%、93.10%、87.50%,TVCDS检查UF、Am特异度分别为50.00%、33.33%高于TACDS检查的18.18%、22.22%,TVCDS检查腺肌瘤特异度为33.33%低于TACDS检查的37.50%。结论:对UF、Am、腺肌瘤患者行TVCDS诊断准确率较高。

Objective:To analyze the effect of transvaginal color Doppler ultrasonography(TVCDS)in the diagnosis of uterine fibroids(UF),uterine adenomyosis(Am)and adenomyoma.Methods:90 patients with UF,Am and adenomyoma were selected and examined by TVCDS and transabdominal color Doppler ultrasound(TACDS)to observe the diagnostic accuracy.Results:The diagnostic accuracy of UF,Am and adenomyoma by TVCDS was higher than that by TACDS(P<0.05).Comparison of hemodynamic indexes of UF,Am and adenomyoma patients by TVCDS test(P<0.05).Using pathological results as the gold standard,the sensitivities of TVCDS for UF,Am and adenomyoma were 93.75%,97.14%and 92.31%higher than those of TACDS 92.00%,93.10%and 87.50%.The specificity of UF,Am and adenomyoma by TVCDS was 50.00%and 33.33%higher than that by TACDS,18.18%and 22.22%.The specificity of adenomyoma by TVCDS was 33.33%lower than that by TACDS,37.50%.Conclusion:The diagnosis accuracy of TVCDS in UF,Am and adenomyoma patients is higher,and the rate of missed diagnosis is lower.