摘要
目的:分析经腹联合经阴道彩超在子宫肌瘤及腺肌病临床鉴别诊断中的应用价值。方法:回顾分析2022年3月~2024年3月妇科收治经病理检查明确诊断为子宫肌瘤及腺肌病患者各40例,且所有病例就诊期间均完善腹部及阴道彩超,记录两组患者彩超下相关血流参数(搏动指数、阻力指数)及Adler分级情况,以病理诊断为依据,计算经腹联合阴道彩超对子宫肌瘤及腺肌病的临床诊断价值。结果:子宫肌瘤组患者平均阻力指数明显低于腺肌病组,而搏动指数方面对比,肌瘤组患者显著高于腺肌病组。Adler分级方面,子宫肌瘤组Ⅱ级、Ⅲ级发病率明显高于腺肌病组,腺肌病组0级及Ⅰ级发病率高于肌瘤组,两组间对比,差异有统计学意义,P<0.05。以病理诊断为金标准,分析腹部与阴道彩超联合诊断的准确度、灵敏度和特异度,经一致性分析Kappa值>0.75,提示联合彩超检查结果与病理检查有较高的一致性。结论:经腹与经阴道彩超联合应用,对子宫肌瘤及腺肌病鉴别诊断具有较高的临床价值,能够清晰显示病灶区域血流信号,所得诊断结果与病理检查具有高度一致性,因此可以作为子宫肌瘤及腺肌病早期筛查的首选。
Objective:To analyze the application value of transabdominal combined with transvaginal ultrasound in the clinical differential diagnosis of uterine fibroids and adenomyosis.Methods:A retrospective analysis was conducted on 40 patients diagnosed with uterine fibroids and adenomyosis through pathological examination admitted to the gynecology department of Dandong First Hospital from March 2022 to March 2024.All patients underwent abdominal and vaginal ultrasound during their visits,and the relevant blood flow parameters[pulsatility index(PI),resistance index(RI)]and Adler grading under ultrasound were recorded.Based on pathological diagnosis,the clinical diagnostic value of abdominal combined with vaginal ultrasound for uterine fibroids and adenomyosis was calculated,and accordingly.Results:The average resistance index(RI)of patients with uterine fibroids was significantly lower than that of patients with adenomyosis,while the pulsatility index(PI)was significantly higher in patients with uterine fibroids than in patients with adenomyosis.In terms of Adler grading,the incidence rate of grade Ⅱ and grade Ⅲ in the group of hysteromyoma was significantly higher than that in the group of adenomyosis,and the incidence rate of grade 0 and grade Ⅰ in the group of adenomyosis was higher than that in the group of myoma.The difference between the two groups was statistically significant(P<0.05).Using pathological diagnosis as the gold standard,the accuracy,sensitivity,and specificity of the combined diagnosis of abdominal and vaginal ultrasound were analyzed.After consistency analysis,the Kappa value was found to be greater than 0.75,indicating a high degree of consistency between the results of the combined ultrasound examination and pathological examination.Conclusion:The combined application of transabdominal and transvaginal ultrasound has high clinical value in the differential diagnosis of uterine fibroids and adenomyosis.It can clearly display the blood flow signals in the lesion area,and the diagnostic results are highly consistent with pathological examination.Therefore,it can be used as the first choice for early screening of uterine fibroids and adenomyosis.
作者
赵欣然
ZHAO Xin-ran(Ultrasound Department,Dandong First Hospital,Liaoning Dandong 118000)
出处
《中国医疗器械信息》
2025年第5期101-103,共3页
China Medical Device Information
关键词
腹部彩超
经阴道彩超
子宫肌瘤
子宫腺肌病
诊断效能
abdominal ultrasound
transvaginal color ultrasound
fibroid
adenomyosis of the uterus
diagnostic efficacy
