经阴道及经腹部彩色多普勒超声在子宫肌瘤及子宫腺肌病中的诊断价值  

The diagnostic value of transvaginal and transabdominal color Doppler ultrasound in uterine fibroids and adenomyosis

作　　者：郭艳琴 庄小兰[1] 王小兵 GUO Yanqin;ZHUANG Xiaolan;WANG Xiaobing(Department of Obstetrics and Gynecology,Ji'an Central People's Hospital,Ji'an,Jiangxi,343000,China)

机构地区：[1]吉安市中心人民医院妇产科,江西吉安343000

出　　处：《当代医学》2024年第11期51-55,共5页Contemporary Medicine

摘　　要：目的探究经阴道、经腹部彩色多普勒超声在子宫肌瘤及子宫腺肌病中的诊断价值。方法选取2019年1月至2021年12月吉安市中心人民医院收治的70例疑似子宫肌瘤、子宫腺肌病患者作为研究对象,均接受经阴道、经腹部彩色多普勒超声诊断,以病理诊断结果为金标准,分析经阴道、经腹部彩色多普勒超声在子宫肌瘤、子宫腺肌病中的诊断价值。结果金标准结果显示,子宫肌瘤31例,子宫腺肌病30例;经阴道彩色多普勒超声诊断子宫肌瘤的准确度、灵敏度、特异度分别为92.86%、96.77%、89.74%,均高于经腹部彩色多普勒超声的67.14%、74.19%、61.54%,差异有统计学意义(P<0.05);经阴道彩色多普勒超声对子宫腺肌病的诊断灵敏度、特异度分别为88.57%、93.33%、85.00%,均高于经腹部彩色多普勒超声的68.57%、73.33%、65.00%,差异有统计学意义(P<0.05);经阴道彩色多普勒超声对子宫肌瘤、子宫腺肌病诊断检出率为95.08%,高于经腹部彩色多普勒超声的73.77%,差异有统计学意义(P<0.05);子宫肌瘤舒张期峰值流速(Vd)快于子宫腺肌病,阻力指数(RI)、搏动指数(PI)均低于子宫腺肌病,收缩期峰值流速(Vs)慢于子宫腺肌病,差异有统计学意义(P<0.05)。结论与经腹部彩色多普勒超声相比,经阴道彩色多普勒超声可提升子宫肌瘤、子宫腺肌病中诊断准确性,且两种疾病血流状态存在显著差异,可用于鉴别诊断。Objective To explore the diagnostic value of transvaginal and transabdominal color Doppler ultrasound in hysteromyoma and adenomyosis.Methods 70 patients with suspected hysteromyoma and adenomyosis in Ji'an Central People's Hospital from January 2019 to December 2021 were selected as the research subjects,all of them were diagnosed by transvaginal and transabdominal color Doppler ultrasound,and the diagnostic value of transvaginal and transabdominal color Doppler ultrasound in hysteromyoma and adenomyosis was analyzed with pathological diagnosis as the gold standard.Results The results of gold standard showed that there were 31 cases of hysteromyoma and 30 cases of adenomyosis.The diagnostic accuracy,sensitivity and specificity of transvaginal color Doppler ultrasound in the diagnosis of hysteromyoma were 92.86%,96.77%and 89.74%,respectively,which were higher than 67.14%,74.19%and 61.54%of transabdominal color Doppler ultrasound,and the differences were statistically significant(P<0.05).The sensitivity and specificity of transvaginal color Doppler ultrasound in the diagnosis of adenomyosis were 88.57%,93.33%and 85.00%,respectively,which were higher than 88.57%,73.33%and 65.00%of transabdominal color Doppler ultrasound,the differences were statistically significant(P<0.05).The detection rate of transvaginal color Doppler ultrasound in the diagnosis of hysteromyoma and adenomyosis was 95.08%,which was higher than 73.77%of transabdominal color Doppler ultrasound,and the difference was statistically significant(P<0.05).The diastolic velocity(Vd)of uterine fibroids was faster than that of adenomyosis,the resistance index(RI)and pulsatility index(PI)were lower than those of adenomyosis,and the systolic velocity(Vs)was slower than that of adenomyosis,the differences were statistically significant(P<0.05).Conclusion Compared with transabdominal color Doppler ultrasound,transvaginal color Doppler ultrasound can improve the diagnostic accuracy of hysteromyoma and adenomyosis,and the blood flow status of the two diseases is

关 键 词：子宫肌瘤 子宫腺肌病 经阴道腹彩色多普勒超声 经腹部彩色多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.33[医药卫生—诊断学]