彩色多普勒超声检查在子宫肌瘤与子宫腺肌症中的诊断价值
Diagnostic Value of Color Doppler Ultrasound in Uterine Fibroids and Adenomyosis
张丽 1周超1
作者信息
- 1. 信阳市平桥区妇幼保健院超声科,信阳 464000
- 折叠
摘要
目的:探讨彩色多普勒超声检查在子宫肌瘤与子宫腺肌症中的诊断价值.方法:选取2022 年3 月至2023年 3 月在本院进行治疗的 45 例子宫肌瘤和 37 例子宫腺肌症患者为研究对象.按照病理组织检查结果,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=37,确诊为子宫腺肌症者).将病理结果作为金标准,分析彩色多普勒超声诊断子宫肌瘤与子宫腺肌症的价值,并对两组患者的血流参数、超声图像特征进行分析.结果:将病理结果作为金标准,彩色多普勒超声检测出子宫肌瘤 43 例、子宫腺肌症 36 例,其鉴别诊断灵敏度为95.56%(43/45),特异度为 97.30%(36/37),准确度为 96.34%(79/82),阳性预测值为 97.73%(43/44),阴性预测值为 94.74%(36/38);检查后,子宫腺肌症组阻力指数(RI)高于子宫肌瘤组、血流搏动指数(PI)低于子宫肌瘤组,差异均有统计学意义(P＜0.05).两组患者舒张末期血流速度(EDV)、收缩期峰值血流速度(PSV)比较,差异无统计学意义(P＞0.05).结论:采用彩色多普勒超声对子宫肌瘤、子宫腺肌症进行鉴别诊断,具有较高的准确率和诊断效能,便于临床作出准确判断.
Abstract
Objective:To explore the diagnostic value of color Doppler ultrasound in uterine fibroids and adenomyosis.Methods:A total of 45 patients with uterine fibroids and 37 patients with adenomyosis who underwent treatment at our hospital from March 2022 to March 2023 were selected as the study subjects.According to the results of histopathological examination,they were divided into uterine fibroid group(n=45,diagnosed with uterine fibroids)and adenomyosis group(n=37,diagnosed with adenomyosis).The pathological results were used as the gold standard to analyze the value of color Doppler ultrasound in the diagnosis of uterine fibroids and adenomyosis.In addition,the blood flow parameters and the characteristics of ultrasound images of the two groups were compared.Results:Taking the pathological results as the gold standard,43 cases of uterine fibroids and 36 cases of adenomyosis were detected by color Doppler ultrasound,with a sensitivity of 95.56%(43/45),specificity of 97.30%(36/37),accuracy of 96.34%(79/82),positive predictive value of 97.73%(43/44),and the negative predictive value of 94.74%(36/38);after examination,the resistance index(RI)of the adenomyosis group was higher than that of the uterine fibroid group,and the pulsatility index(PI)was lower than that of the uterine fibroid group,and the differences were statistically significant(P＜0.05).There was no significant difference in end diastolic velocity(EDV)and peak systolic velocity(PSV)between the two groups(P＞0.05).Conclusions:The differential diagnosis of uterine fibroids and adenomyosis by color Doppler ultrasound has high accuracy and diagnostic efficacy,which is convenient for clinical judgment.
关键词
子宫肌瘤/子宫腺肌症/彩色多普勒超声/诊断效能Key words
Uterine fibroids/Adenomyosis/Color doppler ultrasound/Diagnostic efficacy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据