彩色多普勒超声在子宫肌瘤、子宫腺肌症鉴别诊断中的应用
Application of Color Doppler Ultrasonography in the Differential Diagnosis of Uterine Fibroids and Adenomyosis
李林林 1常旭光 1李晓果1
作者信息
- 1. 联勤保障部队第 989 医院平顶山医疗区特检科,平顶山 467000
- 折叠
摘要
目的:探讨彩色多普勒超声在子宫肌瘤、子宫腺肌症鉴别诊断中的应用价值.方法:选取 2019 年 4 月至2023 年 2 月在本院进行治疗的 93 例子宫肌瘤和子宫腺肌症患者为研究对象.按照组织病理检查结果,将其分为子宫肌瘤组(n =45,确诊为子宫肌瘤者)及子宫腺肌症组(n =48,确诊为子宫腺肌症者).以病理检查结果为金标准,对彩色多普勒超声检查对子宫肌瘤和子宫腺肌瘤的诊断效能进行分析,并对两组患者的动脉血流力学指标、Alder血流分级及超声影像特点进行分析.结果:以病理检查结果为金标准,彩色多普勒超声检测后子宫肌瘤 43例和子宫腺肌症 45 例,其中鉴别诊断特异度为 95.74%(45/47),敏感度为 93.48%(43/46),准确度为 94.62%(88/93);检查后,子宫腺肌症组搏动指数和血流量指数均低于子宫肌瘤组,子宫腺肌症组子宫动脉阻力指数高于子宫肌瘤组,差异有统计学意义(P＜0.05);子宫腺肌症组 0-I级的血流分级率高于子宫肌瘤组,差异有统计学意义(P＜0.05).结论:彩色多普勒超声应用于子宫肌瘤和子宫腺肌症鉴别诊断中,可以提高诊断的准确性,在区分二者疾病和治疗上作出了参考依据.
Abstract
Objective:To investigate the application value of color Doppler ultrasonography in the differential diagnosis of uterine fibroids and adenomyosis.Methods:Ninety-three patients with uterine fibroids and adenomyosis who underwent treatment in our hospital from April 2019 to February 2023 were selected as the study subjects.They were divided into the uterine fibroid group(n = 45,diagnosed with uterine fibroids)and the adenomyosis group(n = 48,diagnosed with adenomyosis),according to the results of histopathological examination.Using pathological examination results as the gold standard,analyze the diagnostic efficacy of color Doppler ultrasound for uterine fibroids and adenomyomas,and analyze the arterial hemodynamic indicators,Alder blood flow grading,and ultrasound imaging characteristics of the two groups of patients.Results:Using pathological results as the gold standard,43 cases of uterine fibroids and 45 cases of adenomyosis were detected by color Doppler ultrasonography,with a specificity of 95.74%(45/47)and a sensitivity of 93.48%(43/46),the accuracy was 94.62%(88/93);after examination,the pulsatility index and blood flow index of patients with adenomyosis were lower than those of patients with uterine fibroids,and the uterine artery resistance index of patients with adenomyosis was higher than that of uterine fibroids,and the difference was statistically significant(P＜0.05);The blood flow grading rate of grade 0-Ⅰ in the adenomyosis group is higher than that in the fibroid group,and the difference was statistically significant(P＜0.05).Conclusion:The application of color Doppler ultrasound in the differential diagnosis of uterine fibroids and adenomyosis can improve the accuracy of diagnosis,reference is made in distinguishing between the two diseases and treatment.
关键词
彩色多普勒/子宫肌瘤/子宫腺肌症/鉴别诊断Key words
Color Doppler/Uterine fibroids/Adenomyosis/Differential diagnosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据