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经腹联合经阴道超声在子宫肌瘤诊断中应用价值

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目的 探讨在子宫肌瘤诊断中应用经腹联合经阴道超声检查的价值.方法 选择本院收治的150例疑似子宫肌瘤患者为研究对象.患者均接受经腹、经阴道超声检查,以病理诊断为金标准,比较联合检查的诊断效能及对不同部位病灶的检出率.结果 联合超声检查的诊断准确率为98.00%(147/150)、敏感度为97.87%(92/94)、特异度为98.21%(55/56)、阳性预测值为98.92%(92/93)、阴性预测值为96.49%(55/57),分别高于经腹超声与经阴道超声单独检查(P<0.05).联合超声检查对肌壁间肌瘤的检出率为98.48%(65/66),分别高于经腹、经阴道超声单独检查(P<0.05).结论 在子宫肌瘤诊断中应用经腹联合经阴道超声检查的价值显著,具有较高的诊断效能,可以有效辨别各部位的子宫肌瘤,为后续治疗方案的制定提供科学依据,值得推广.
The application value of transabdominal combined with transvaginal ultrasound in the diagnosis of uterine fibroids
Objective To explore the value of combined transabdominal and transvaginal ultrasound in the diagnosis of uterine fibroids.Methods 150 suspected patients with uterine fibroids admitted to our hospital were selected as the research subjects.All patients underwent transabdominal and transvaginal ultrasound examinations,with pathological diagnosis as the gold standard.The diagnostic efficacy of the combined examination and the detection rate of lesions in different parts were compared.Results The diagnostic accuracy of combined ultrasound examination was 98.00%(147/150),sensitivity was 97.87%(92/94),specificity was 98.21%(55/56),positive predictive value was 98.92%(92/93),and negative predictive value was 96.49%(55/57),respectively,higher than that of single detection by transabdominal ultrasound and transvaginal ultrasound(P<0.05).The detection rate of intramural fibroids by combined ultrasound examination was 98.48%(65/66),which was higher than that of abdominal and vaginal ultrasound examination alone(P<0.05).Conclusion The application of transabdominal combined with transvaginal ultrasound in the diagnosis of uterine fibroids has significant value and high diagnostic efficacy.It can effectively distinguish uterine fibroids in various parts and provide scientific basis for the formulation of subsequent treatment plans,which is worth promoting.

Uterine fibroidsTransabdominal ultrasoundTransvaginal ultrasoundDiagnostic value

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如东县第四人民医院 B超室,江苏 南通 226400

子宫肌瘤 经腹超声 经阴道超声 诊断价值

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(15)