彩色多普勒超声对子宫腺肌症和子宫肌瘤的鉴别诊断价值及检出率探究  

The value and detection rate of color Doppler ultrasound in the differential diagnosis of uterine adenomyosis and uterine fibroids

作　　者：王小兵 郭艳琴 左琦 WANG Xiaobing;GUO Yanqin;ZUO Qi(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12期129-132,共4页Contemporary Medicine

摘　　要：目的探讨彩色多普勒超声在子宫腺肌症与子宫肌瘤临床诊断中的应用价值。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例子宫腺肌症与子宫肌瘤患者作为研究对象,根据疾病种类分为子宫腺肌症组(n=32)与子宫肌瘤组(n=38)。两组均接受彩色多普勒超声诊断检查。比较两组肿瘤内血液丰富程度分级、子宫腺肌症与子宫肌瘤的检出率、血流量(BFV)、子宫动脉阻力指数(RI)与搏动指数(PI)。结果子宫腺肌症患者的超声图像特征为子宫轻度弥漫性增大为主,彩色多普勒血流显像为病灶区域血流较少,可见短条状的稀疏血流;子宫肌瘤患者的超声图像特征为子宫增大,彩色多普勒血流显像为包块内存在条状或星状的血流信号。两组肿瘤内血液丰富程度分级比较差异无统计学意义;以临床病理检查结果为金标准,两组子宫腺肌症与子宫肌瘤检出率比较差异无统计学意义;子宫腺肌症组BFV慢于子宫肌瘤组,PI低于子宫肌瘤组,RI高于子宫肌瘤组,差异有统计学意义(P<0.05)。结论彩色多普勒超声检查在临床诊断中有利于鉴别子宫腺肌症患者与子宫肌瘤患者,对患者的确诊与治疗具有重要的指导意义。Objective To investigate the value of color Doppler ultrasound in the clinical diagnosis of uterine adenomyosis and uterine fibroids.Methods 70 patients with adenomyosis and uterine fibroids admitted to Ji'an Central People's Hospital from January 2019 to December 2021 were selected as the research subjects,and they were divided into the adenomyosis group(n=32)and the uterine fibroids group(n=38)according to the types of diseases.Both groups underwent color Doppler ultrasound.The blood richness grade,the detection rate of adenomyosis and uterine fibroids,blood flow volume(BFV),uterine artery resistance index(RI)and pulsation index(PI)were compared between the two groups.Results The ultraso-nographic characteristics of the patients with adenomyosis were mild diffuse enlargement of uterus,color Doppler blood flow imaging showed less blood flow in the lesion area and short strips of sparse blood flow;the ultrasound images of patients with uterine fibroids were characterized by uter-ine enlargement,and color Doppler flow imaging showed the presence of streaks or star-shaped blood flow signals in the mass.There was no signifi-cant difference in blood richness between the two groups.Using clinicopathological examination results as the gold standard,there was no significant difference in the detection rate of adenomyosis and uterine fibroids between the two groups.The BFV in the adenomyosis group was slower than that in uterine fibroids group,PI in the adenomyosis group was lower than that in the uterine fibroids group,and RI was higher than those in the uterine fi-broids group,and the differences were statistically significant(P<0.05).Conclusion Color Doppler ultrasound is helpful to differentiate the pa-tients with adenomyosis and uterine fibroids in clinical diagnosis,and has important guiding significance for diagnosis and treatment of patients.

关 键 词：彩色多普勒超声 子宫腺肌症 子宫肌瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]