经阴道超声鉴别子宫肌瘤与子宫腺肌症的诊断价值研究
Diagnostic Value of Transvaginal Ultrasonography in Differentiating Uterine Fibroids from Uterine Adenomyosis
谭伟霞 1孙晓华 1高廷廷 1贾欣欣1
作者信息
- 1. 郑州大桥医院超声科,郑州 450000
- 折叠
摘要
目的:探讨经阴道超声在子宫肌瘤、子宫腺肌症的鉴别诊断中的应用价值.方法:选取 2020 年 6 月至2023 年 6 月于本院就诊的 125 例子宫肌瘤和 125 例子宫腺肌症患者为研究对象.按照手术病理检查结果,将其分为子宫肌瘤组(n=125)及子宫腺肌症组(n=125).比较两组患者经阴道超声检测动脉血流力学指标、血流分级变化;以手术或病理检查结果为金标准,分析经阴道超声检测子宫肌瘤和子宫腺肌症的诊断结果及诊断效能.结果:子宫肌瘤组病变部位子宫血流量(BFV)、动脉阻力指数(RI)均高于子宫腺肌症组,搏动指数(PI)低于子宫腺肌症组,差异均有统计学意义(P＜0.05).子宫肌瘤组 0 级、Ⅰ级血流分级率显著低于子宫腺肌症组,Ⅱ级、Ⅲ级血流分级率显著高于子宫腺肌症组,差异均有统计学意义(P＜0.05).经阴道超声检查子宫肌瘤患者结果与病理活检结果一致性优(Kappa=0.928);经阴道超声检查子宫腺肌症患者结果与病理活检结果一致性优(Kappa=0.920).经阴道超声检查子宫肌瘤、子宫腺肌症的诊断灵敏度分别为 96.80%、95.20%,准确度分别为 96.40%、96.00%,漏诊率分别为 4.00%、3.20%.结论:经阴道超声在子宫肌瘤、子宫腺肌症的鉴别诊断中显示出较高的诊断准确度、较低的漏诊率,具备较高的临床应用价值.
Abstract
Objective:To evaluate the value of transvaginal ultrasonography in the differential diagnosis of uterine fibroids and uterine adenomyosis.Methods:A total of 125 patients with uterine fibroids and 125 patients with adenomyosis in our hospital from June 2020 to June 2023 were selected as the study subjects.According to the results of surgery or pathological examination,they were divided into uterine fibroids group(n=125)and adenomyosis group(n=125).The changes of arterial blood flow mechanics and blood flow grade were compared by transvaginal ultrasound between the two groups.Taking the surgical or pathological results as the gold standard,the diagnostic results and diagnostic efficacy of transvaginal ultrasound for the detection of uterine fibroids and adenomyosis were explored.Results:The blood flow volume(BFV)and resistance index(RI)of the uterine lesions in the uterine fibroids group were higher than those in the adenomyosis group,while the pulsatility index(PI)was lower than that in the adenomyosis group,the differencess were statistically significant(P<0.05).The blood flow grading rates of grade 0 and grade I in the uterine fibroid group were significantly lower than those in the adenomyosis group,and the blood flow grading rates of grade Ⅱ and grade Ⅲ were higher than those in the adenomyosis group,the differences were statistically significant(P<0.05).The Kappa values of color ultrasonography for uterine fibroids and uterine adenomyosis were 0.928 and 0.920,respectively,with high consistency.The diagnostic sensitivity of uterine fibroids and adenomyosis was 96.80％and 95.20％,the accuracy was 96.40％and 96.00％,and the missed diagnosis rate was 4.00％and 3.20％,respectively.Conclusion:Transvaginal ultrasound exhibits high diagnostic accuracy and low missed diagnosis rate in the differential diagnosis of uterine fibroids and adenomyosis,and has highclinical application value.
关键词
经阴道超声/子宫肌瘤/子宫腺肌症/鉴别诊断Key words
Transvaginal ultrasonography/Uterine fibroids/Uterine adenomyosis/Differential diagnosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据