经腹彩色多普勒超声检查对子宫内膜异位症的诊断价值  

The Diagnostic Value of Transabdominal Color Doppler Ultrasonography for Endometriosis

作　　者：张金焕 王伟[1] 刘思宇 许秀华 ZHANG Jinhuan;WANG Wei;LIU Siyu;XU Xiuhua(Department of Gynecology and Obstetrics,Yanqing Hospital,The Third Hospital of Peking University,Beijing 102100,P.R.China)

机构地区：[1]北京大学第三医院延庆医院妇产科,北京102100

出　　处：《影像科学与光化学》2021年第2期230-234,共5页Imaging Science and Photochemistry

摘　　要：本研究选取我院100例子宫内膜异位症患者作为病例组、同期健康妇女100例作为对照组,探讨了经腹彩色多普勒超声检查对子宫内膜异位症患者子宫动脉血流特征、子宫特征的诊断价值。结果显示,病例组的子宫体积、子宫内膜厚度测定值均大于对照组(P<0.05);摆动子宫颈后,病例组的EDV测定值低于对照组,RI测定值大于对照组(P<0.05);通过绘制ROC曲线,可知EDV、RI、子宫体积大小、子宫内膜厚度诊断子宫内膜异位症的AUC值均超过0.65,灵敏度和特异度都较高,漏诊率和误诊率也在可控范围内。本研究证实,通过经腹彩色多普勒超声检测子宫动脉血流参数及子宫形态特征,对诊断子宫内膜异位症具有一定的临床参考价值。The aim of this research is to explore the value of transabdominal colour Doppler ultrasonography in the uterine artery blood flow characteristics,uterine characteristics and diagnostic value of endometriosis.There were 100 cases of endometriosis in our hospital who were selected as the case group,and 100 healthy women in the same period as the control group.The results showed that the uterine volume and endometrial thickness of the case group were greater than those of the control group(P<0.05).After cervix was swayed,EDV of the case group was lower than that of the control group(P<0.05),while RI was greater than that of the control group(P<0.05).From the ROC curve,it can be seen that the AUC value exceeds 0.65.EDV,RI,uterine volume and endometrial thickness are all high in sensitivity and specificity.The missed diagnosis rate and misdiagnosis rate were also within a controllable range.In a word,the uterine artery blood flow parameters and uterine morphological characteristics have certain clinical reference value for the diagnosis of endometriosis.

关 键 词：子宫内膜异位症 子宫动脉 血流参数 子宫大小 内膜厚度 

分 类 号：R711.71[医药卫生—妇产科学] R445.1[医药卫生—临床医学]