经阴道与腹部彩超在鉴别诊断子宫肌瘤及子宫腺肌瘤中的临床意义  

Clinical significance of transvaginal and abdominal color Doppler ultrasound in the differential diagnosis of uterine fibroids and uterine adenomyoma

作　　者：陈清 熊美娥 刘蓉 CHEN Qing;XIONG Mei'e;LIU Rong(Department of Ultrasound,Pingxiang Second People's Hospital,Pingxiang,Jiangxi,337000,China)

机构地区：[1]萍乡市第二人民医院超声科,江西萍乡337000

出　　处：《当代医学》2024年第9期98-100,共3页Contemporary Medicine

摘　　要：目的探讨经阴道与腹部彩超在鉴别诊断子宫肌瘤、子宫腺肌瘤中的临床意义。方法选取2017年1月至2020年1月萍乡市第二人民医院收治的40例子宫腺肌瘤患者作为子宫腺肌瘤组,另选取同期本院收治的40例子宫肌瘤患者作为子宫肌瘤组,两组均经手术病理学确诊。术前,两组均行经阴道与腹部彩超检查。比较两组经阴道与腹部彩超的检出率、血流指标(阻力指数、搏动指数),比较两种检查方法检查依从性。结果两组经阴道彩超检出率均高于经腹部彩超,差异有统计学意义(P<0.05)。两组经阴道与腹部彩超搏动指数比较差异无统计学意义;两组经阴道彩超阻力指数大于经腹部彩超,差异有统计学意义(P<0.05);子宫腺肌瘤组经腹部彩超、经阴道阻力指数、超声搏动指数均大于子宫肌瘤组,差异有统计学意义(P<0.05)。经阴道与腹部彩超检查依从性比较差异无统计学意义。结论经阴道与腹部彩超在鉴别诊断子宫肌瘤、子宫腺肌瘤效果显著,其中经阴道彩超检出率更高,且对于子宫肌瘤、子宫腺肌瘤血流动力学的检测更明显,值得临床推广应用。Objective To investigate the clinical significance of transvaginal and abdominal color Doppler ultrasound in the differential diagno-sis of uterine fibroids and uterine adenomyoma.Methods 40 patients with uterine adenomyoma admitted to the Second People's Hospital of Pingx-iang from January 2017 to January 2020 were selected as the uterine adenomyoma group,and 40 patients with uterine leiomyoma admitted to our hos-pital during the same period were selected as the uterine fibroids group,both groups were confirmed by surgical pathology.Before operation,transvagi-nal and abdominal color Doppler ultrasonography were performed in both groups.The detection rate of transvaginal and abdominal color Doppler ul-trasound,blood flow index(resistance index,pulsation index)were compared between the two groups,and the compliance of the two examination methods was compared.Results The detection rate of transvaginal color Doppler ultrasound in the two groups was higher than that of transabdominal color Doppler ultrasound,and the difference was statistically significant(P<0.05).There was no significant difference in the pulsatility index of trans-vaginal and abdominal color Doppler ultrasound between the two groups;the resistance index of transvaginal color Doppler ultrasound of the two groups was greater than that of transabdominal color Doppler ultrasound,and the difference was statistically significant(P<0.05);the abdominal color Doppler ultrasound,transvaginal resistance index and ultrasonic pulsation index in the uterine adenomyoma group were higher than those in the uter-ine fibroids group,and the differences were statistically significant(P<0.05).There was no significant difference in compliance between transvaginal and abdominal color Doppler ultrasonography.Conclusion Transvaginal and abdominal color Doppler ultrasound has the significant effect in the dif-ferential diagnosis of uterine fibroids and uterine adenomyoma,the detection rate of transvaginal color Doppler ultrasound is higher,and the detection of hemodynamics o

关 键 词：经阴道彩超 经腹部彩超 子宫肌瘤 子宫腺肌瘤 

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