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彩色多普勒成像联合子宫动脉血流参数诊断子宫肌瘤效果

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目的:探究彩色多普勒成像联合子宫动脉血流参数诊断子宫肌瘤效果.方法:选取2020年1月—2023年3月本院诊治的子宫肌瘤患者38例为观察组,健康体检非子宫肌瘤者65例为对照组.比较两组超声子宫动脉血流参数,观察组以病理学结果为金标准分析彩色多普勒成像联合子宫动脉血流参数诊断子宫肌瘤价值.结果:观察组超声声像子宫肌瘤具有边界清晰、组织低回声、内部结构呈实性特点,观察组子宫动脉阻力指数、子宫动脉搏动指数、子宫动脉收缩期血流速度、子宫动脉舒张期血流速度均高于对照组(均P<0.05).声像特征联合子宫动脉血流参数诊断子宫肌瘤的曲线下面积为0.932,灵敏度86.8%、特异度93.8%、准确率90.3%等均高于单独指标诊断.结论:彩色多普勒成像联合子宫动脉血流参数诊断子宫肌瘤具有较高的灵敏度和特异度,提高了诊断子宫肌瘤效能.
Value of color Doppler imaging combined with uterine artery blood flow parameters of women for diagnosing their uterine fibroids
Objective:To evaluate the value of color Doppler imaging combined with uterine artery blood flow parame-ters of women for diagnosing their uterine fibroids.Methods:38 women with uterine fibroids who had been diagnosed and treated in hospital were selected in observation group,and another 65 women without uterine fibroids who had been physical examination were included in control group from January 2020 to March 2023.The ultrasonic uterine ar-tery blood flow parameters of the women were compared between two groups.The value of the color Doppler imaging combined with the uterine artery blood flow parameters of the women in the observation group for diagnosing their u-terine fibroids was assessed based on the pathological results of the women as the gold standard.Results:The ultra-sonographic imaging of the uterine fibroids of the women in the observation group had the characteristics of the clear boundary,the low echo and the solid internal structure.The values of the uterine artery resistance index,the uterine artery pulsatility index,the uterine artery systolic blood flow velocity and the uterine artery diastolic blood flow veloci-ty of the women in the observation group were significantly higher than those of the women in the control group(all P<0.05).The area under the curve,the sensitivity,the specificity and the accuracy of the ultrasonographic imaging combined with the uterine artery blood flow parameters of the women for diagnosing their uterine fibroids were 0.932,86.8%,93.8%and 90.3%,respectively,which were significantly higher than those of the ultrasonographic imaging or the uterine artery blood flow parameters alone.Conclusion:Color Doppler imaging combined with uterine artery flow parameters of the women for diagnosing their uterine fibroids has the higher sensitivity and specificity,and which in-crease the efficacy of uterine fibroids diagnosis.

Uterine fibroidColor Doppler imagingUterine arterial blood flow parametersDiagnosis

张小敬、方群、刘赵一、贺诗圣

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安徽省阜阳市妇女儿童医院(236001)

子宫肌瘤 彩色多普勒成像 子宫动脉血流参数 诊断

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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