彩色多普勒超声鉴别诊断子宫肌瘤与子宫腺肌病的作用分析  

Differential Diagnosis of Uterine Fibroids and Adenomyopathy by Color Doppler Ultrasonography

作　　者：谢和禄 刘秋兰 XIE He-lu;LIU Qiu-lan(Department of Ultrasound,Jinjiang Xiyuan Community Health Service Center,Fujian Jinjiang 362200;Department of Ultrasound,Jinjiang Maternal and Child Health Hospital,Fujian Jinjiang 362200)

机构地区：[1]晋江市西园街道社区卫生服务中心超声科,福建晋江362200 [2]晋江市妇幼保健院超声科,福建晋江362200

出　　处：《中国医疗器械信息》2024年第24期118-120,共3页China Medical Device Information

摘　　要：目的:探究彩色多普勒超声应用于诊断子宫肌瘤与子宫腺肌病的临床价值和鉴别作用。方法:从晋江市妇幼保健院2022年10月~2023年10月收治的疑似子宫肌瘤和子宫腺肌病患者中分别选取100例并按照疑似疾病直接分组。两组患者均接受彩色多普勒超声检测以及病理检测,将病理检测结果作为金标准,与彩超检测结果比对,首先确定真阳、真阴、假阳、假阴例数,计算彩超检测效能,比对两种疾病的彩超检测结果,找出影像中的差异之处。结果:疑似子宫肌瘤组患者接受彩超及病理金标准检测后的结果中,真阳、真阴、假阳、假阴对应例数分别为90例、4例、4例、2例;疑似子宫腺肌病组患者接受两种检测后的结果中,真阳、真阴、假阳、假阴对应的例数分别为60例、22例、10例、8例;彩超诊断子宫肌瘤时,敏感度为97.8%,特异度为50.0%,准确率为94.0%;彩超诊断子宫腺肌病时,敏感度为88.2%,特异度为68.8%,准确率为82.0%;彩超图像下,子宫肌瘤与子宫腺肌病在边界、回声模式、声影效应、血流信号、位置和形态等方面均存在较为明显的差异。结论:彩色多普勒超声应用于检测疑似子宫肌瘤与子宫腺肌病时,检测结果十分接近病理金标准,诊断准确率很高;此外,尽管子宫肌瘤与子宫腺肌病两种疾病的临床症状较为相似,但在彩超图像下,两种疾病区分明显,表明彩超在鉴别这两种疾病时有较强的作用。Objective:To explore the clinical value and differential role of color Doppler ultrasound in the diagnosis of uterine fibroids and adenomyopathy.Methods:100 patients with suspected uterine fibroids and adenomyosis were selected from Jinjiang Maternal and Child Health Hospital from October 2022 to October 2023 and were directly grouped according to suspected diseases.Patients in both groups received color Doppler ultrasound detection and pathological detection.The results of pathological detection were taken as the gold standard and compared with the results of color ultrasound detection.First,the number of true positive,true negative,false positive and false negative cases was determined,the detection efficiency of color ultrasound was calculated,and the results of color ultrasound detection of the two diseases were compared to find out the differences in the images.Results:In the suspected uterine fibroids group,there were 90 cases of true positive,4 cases of true negative,4 cases of false positive and 2 cases of false negative,respectively.In the suspected adenomyosis group,the corresponding cases of true positive,true negative,false positive and false negative were 60 cases,22 cases,10 cases and 8 cases,respectively.When diagnosing uterine fibroids using ultrasound,the sensitivity was 97.8%,the specificity was 50.0%,and the accuracy was 94.0%;When diagnosing adenomyosis with ultrasound,the sensitivity was 88.2%,the specificity was 68.8%,and the accuracy was 82.0%;Under color ultrasound images,there were obvious differences between uterine fibroids and adenomyopathy in boundary,echo pattern,sound shadow effect,blood flow signal,location and morphology.Conclusion:When color Doppler ultrasound is used to detect suspected uterine fibroids and adenomyopathy,the detection results are very close to the pathological gold standard,and the diagnostic accuracy is very high.In addition,although the clinical symptoms of uterine fibroids and adenomyopathy are similar,the difference between the two diseases is obvious under

关 键 词：彩色多普勒超声 鉴别诊断 病理金标准 子宫肌瘤 子宫腺肌病 

分 类 号：R445.1[医药卫生—影像医学与核医学]