Clinical Effect of Color Doppler Ultrasound in Qualitative Diagnosis of Cystic Occupying Uterine Adnexa
Objective:To evaluate the clinical effect of color Doppler ultrasound in the qualitative diagnosis of cystic masses of uterine appendages.Methods:From September 2019 to September 2022,287 patients with suspected adnexal cystic masses who were examined in the gynecological outpatient department of our hospital were selected,and they needed to undergo color Doppler ultrasound examination.The diagnosis was confirmed by clinical comprehensive diagnosis,and the clinical effect of color Doppler ultrasound in qualitative diagnosis of uterine adnexal cystic masses was evaluated.Results:The clinical comprehensive diagnosis showed that 269 cases were cystic masses of uterine appendages,including 54 cases of endometriotic cysts,29 cases of torsion of ovarian cyst pedicle,51 cases of cystadenoma,26 cases of fallopian tube effusion,45 cases of accessory inflammatory masses,26 cases of mesosalpinx cysts,and 38 cases of ectopic pregnancy.The coincidence rates of color Doppler ultrasound in the diagnosis of various cystic masses of uterine appendages were 92.59%(50/54)for endometriotic cysts,93.10%(27/29)for torsion of ovarian cyst pedicle,94.12%(48/51)for cystadenoma,92.31%(24/26)for fallopian tube effusion,91.11%(41/45)for inflammatory adnexal masses,96.15%(25/26)for mesosalpinx cysts,and 94.74%(36/38)for ectopic pregnancy,respectively,which were not significantly different from the results of clinical comprehensive diagnosis(P>0.05).The accuracy,sensitivity,and specificity of color Doppler ultrasound in diagnosing cystic masses of uterine appendages were 95.12%(273/287),95.91%(258/269),and 83.33%(15/18),respectively.Conclusion:Color Doppler ultrasound can display the fine structure of uterine adnexal lesions,and has a high efficiency in diagnosing cystic lesions in uterine adnexal lesions.It has high clinical application value.
color Doppler ultrasoundqualitative diagnosisuterine appendagescystic mass