探讨经腹和经阴道超声检查对子宫内膜异位症的诊断价值  

Investigation on the values of transabdominal and transvaginal ultrasonography in the diagnosis of endometriosis

作　　者：任丽[1] 刘玥[1] 王凌翔[1] 王卉[1] 陈芳[2] 龙丽[3] REN Li;LIU Yue;WANG Lingxiang;WANG Hui;CHEN Fang;LONG Li(Department of Ultrasound,Chongzhou People′s Hospital,Chengdu 611230,Sichuan,China;Department of Obstetrics and Gynecology,The Fourth Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China;Department of Obstetrics and Gynecology,Sichuan Provincial People′s Hospital,Sichuan Academy of Medical Sciences,Chengdu 610072,Sichuan,China)

机构地区：[1]崇州市人民医院超声科,成都611230 [2]新疆医科大学第四附属医院妇产科,乌鲁木齐830000 [3]四川省医学科学院(四川省人民医院)妇产科,成都610072

出　　处：《中国性科学》2018年第12期102-104,共3页Chinese Journal of Human Sexuality

基　　金：四川省卫生科研课题项目(130191)

摘　　要：目的:探讨经腹和经阴道超声检查对子宫内膜异位症的诊断价值。方法:随机选取2015年5月至2017年5月崇州市人民医院收治的子宫内膜异位症患者40例,所有患者均接受经腹和经阴道超声检查及病理检查,对经腹超声检查与病理检查结果对比、经阴道超声检查与病理检查结果对比进行分析,然后对经腹和经阴道超声检查的诊断价值比较进行统计分析。结果:与病理检查结果对比显示,经腹超声检查诊断的敏感度、特异度、准确率、阳性预测值、阴性预测值分别为89. 3%(25/28)、75. 0%(9/12)、85. 0%(34/40)、89. 3%(25/28)、75. 0%(9/12);与病理检查结果对比显示,经阴道超声检查诊断的敏感度、特异度、准确率、阳性预测值、阴性预测值分别为92. 9%(26/28)、83. 3%(10/12)、90. 0%(36/40)、92. 9%(26/28)、83. 3%(10/12);经阴道超声检查诊断的敏感度、特异度、准确率、阳性预测值、阴性预测值均显著高于经腹超声检查,差异具有统计学意义(P <0. 05)。结论:经阴道超声检查对子宫内膜异位症的诊断价值较经腹超声检查高,更能有效提升诊断的敏感度、特异度、准确率、阳性预测值、阴性预测值,值得推广。Objective:To investigate the values of transabdominal and transvaginal ultrasonography in the diagnosis of endometriosis.Methods:40 patients with endometriosis in Chongzhou People′s Hospital from May 2015 to May 2017 were randomly selected,and all the patients underwent transabdominal and transvaginal ultrasound examination and pathological examination.The results of transabdominal ultrasonography and pathological examination as well as the results of the transvaginal ultrasonography and pathological examination were compared,and the diagnostic value of transabdominal and transvaginal ultrasonography were statistically analyzed.Results:Compared with pathological examination results,the diagnostic sensitivity, specificity, accuracy, positive predictive value and negative predictive value of those of transabdominal ultrasonography was 893%(25/28),75.0%(9/12),85.0%(34/40),89.3%(25/28)and 75.0%(9/12)respectively.Compared with pathological examination results,the diagnostic sensitivity,specificity,accuracy,positive predictive value and negative predictive value of those of transvaginal ultrasonography was 92.9%(26/28),83.3%(10/12),90.0%(36/40),92.9%(26/28)and 83.3%(10/12)respectively.The diagnostic sensitivity,specificity,accuracy,positive and negative predictive values of the results of transvaginal ultrasonography were significantly higher than those of transabdominal ultrasonography(P<0.05).Conclusions:The value of transvaginal ultrasonography in the diagnosis of endometriosis is higher than that of transabdominal ultrasonography,and transvaginal ultrasonography can more effectively improve the diagnostic sensitivity,specificity,accuracy,positive predictive value and negative predictive value,which is worthy of promotion.

关 键 词：经腹超声检查 经阴道超声检查 子宫内膜异位症 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.71[医药卫生—诊断学]