子宫肌瘤与子宫腺肌病超声诊断的临床效果比照观察

The clinical effect of the diagnosis of uterine fibroids and uterine adenomyopathy was observed

目的对比观察超声检查在子宫腺肌病、子宫肌瘤诊断中的临床效果。方法将2014年1月-2016年3月我院收治的60例子宫肌瘤患者分为观察组,同期收治的60例子宫腺肌病患者分为对照组,两组患者均采用彩色多普勒超声检查。记录两组患者的超声诊断符合率、子宫血流参数相关指标(搏动指数、阻力指数、舒张期及收缩期血流速度)及图像特征。结果 (1)以病理学诊断结果为参照标准,观察组、对照组彩超诊断符合率分别为88.33%、85.00%(P>0.05);(2)观察组子宫动脉血流阻力指数明显低于对照组,观察组子宫动脉血流搏动指数明显低于对照组,差异均有统计学意义(P<0.05);两组舒张期及收缩期血流速度差异无统计学意义(P>0.05)。(3)观察组患者超声图像显示,多数患者有子宫不规则增大、局部隆起、有圆形等回声或低回声的规则团块,肿块形态规则,边缘清晰。对照组患者超声图像显示,子宫明显增大,肌层增厚,有不均匀回声,内膜线发生移位。结论超声检查对子宫腺肌病、子宫肌瘤的诊断符合率高,两种疾病在超声图像像、子宫动脉血流阻力指数及搏动指数方面有明显差异,通过对比观察可以判定疾病类型,为下一步治疗方案提供诊断依据,具有较高的临床应用价值。

Objective to contrast observation of ultrasound in the diagnosis of uterine adenomyosis,uterine fibroids clinical effect. Methods in January 2014-March 2016 of our hospital,60 cases of patients with uterine fibroids were divided into observation group,in the same period of 60 patients with uterine adenomyosis were divided into control group,two groups of patients with color doppler ultrasound. Recording the ultrasound diagnosis coincidence rate of two groups of patients,related parameters of uterine blood flow parameters( pulse index and resistance index,diastolic and systolic blood flow velocity) and the image characteristics. Results( 1) to pathological diagnosis results as the reference standard,the observation group,control group exceeds diagnosis coincidence rate,88. 33%,85. 00% respectively,there was no statistically significant difference( P> 0. 05);( 2) the observation group of uterine artery blood flow resistance index significantly lower than the control group,the observation group uterus pulsation index significantly lower than the control group,the difference was statistically significant( P < 0. 05); The diastolic and systolic blood flow velocity similar between the two groups has no statistical significance( P > 0. 05).( 3) observation group of patients with ultrasound image shows,most of the patients with uterine irregular enlargement,local uplift,circular hypoechoic or low echo mass of rules,lump shape rules,the edge is clear. Control group patients with ultrasound image display,the uterus increases obviously,muscular layer thickening,uneven echo,intima line shift. Conclusion ultrasound in the diagnosis of uterine adenomyosis,uterine fibroids coincidence rate is high,the two diseases in ultrasound images like,uterine artery blood flow resistance index and pulsation index has obvious difference,by comparing the observation can determine disease type,provide diagnostic basis for further treatment,and has high clinical value.