经阴道与经腹部彩色超声在不规则阴道出血诊断中的效用分析  

Analysis on the Efficacy of Transvaginal and Transabdominal Color Ultrasound in the Diagnosis of Irregular Vaginal Bleeding

作　　者：高翔 常宁 姬宏娟 GAO Xiang;CHANG ning;JI Hongjuan(Department of Special Diagnosis,Kaifeng 155^(th)Hospital,Kaifeng,475000,China;Department of Ultrasound Medicine,the 988^(th)Hospital of the Joint Logistics Support Force,Zhengzhou 450052,China)

机构地区：[1]开封一五五医院特诊科,河南开封475000 [2]联勤保障部队第988医院超声医学科,河南郑州450052

出　　处：《临床医学工程》2024年第11期1317-1318,共2页Clinical Medicine & Engineering

摘　　要：目的探讨经阴道与经腹部彩色超声在不规则阴道出血诊断中的效用。方法90例疑似不规则阴道出血患者入院后均分别进行经阴道与经腹部彩色超声检查,以宫腔内容物病理结果为准,分析两种超声检查结果与其的一致性。比较两种检查方法对不规则阴道出血的诊断效能。结果90疑似例不规则阴道出血患者中有78例经病理结果明确诊断。κ检验分析显示,腹部超声与病理结果的一致性一般(κ=0.603,P<0.05),阴道超声与病理结果的一致性较好(κ=0.940,P<0.05)。经阴道超声诊断不规则阴道出血的效能均高于经腹部超声(P<0.05)。结论与经腹部超声相比,经阴道超声对不规则阴道出血的鉴别效果更好,诊断效能更高,可为后续相关治疗方案的制定与改善提供参考。Objective To explore the efficacy of transvaginal and transabdominal color ultrasound in the diagnosis of irregular vaginal bleeding.Methods After admission,90 patients with suspected irregular vaginal bleeding received transvaginal and transabdominal color ultrasound,respectively.Taking pathological results of uterine contents as criterion,the consistency of ultrasound results of irregular vaginal bleeding was analyzed.Results 78 cases of 90 suspected cases of irregular vaginal bleeding were diagnosed.κtest showed that the results of transabdominal ultrasound had general consistency with those of pathology(κ=0.603,P<0.05),and the results of transvaginal ultrasound had better consistency with those of pathology(κ=0.940,P<0.05).The diagnostic efficacy of transvaginal ultrasound in the diagnosis of irregular vaginal bleeding was higher than that of transabdominal ultrasound(P<0.05).Conclusions Compared with transabdominal ultrasound,transvaginal ultrasound has better differential effect and higher diagnostic efficiency in the diagnosis of irregular vaginal bleeding,which can provide reference for the formulation and improvement of subsequent relevant treatment plans.

关 键 词：经阴道超声 经腹部超声 不规则阴道出血 诊断效能 

分 类 号：R711.73[医药卫生—妇产科学]