首页|分析经腹彩超对子宫肌瘤、子宫腺肌症的诊断及临床应用价值

分析经腹彩超对子宫肌瘤、子宫腺肌症的诊断及临床应用价值

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目的:探讨经腹彩超对子宫肌瘤、子宫腺肌症的诊断及临床应用价值.方法:选取2020年1月~2022年12月本院收治的100例子宫肌瘤、子宫腺肌症患者作为观察对象,对所有患者均采用经腹彩超检查和常规超声检查,以病理检查结果为金标准,比较两组方法的检出率,并比较两种方法下患者血流动力学相关参数,采用受试者操作特征(ROC)曲线分析收缩期峰值流速(Vs)、舒张期峰值流速(Vd)、血流搏动指数(PI)和血流阻力指数(RI)诊断价值.结果:经腹彩超检出率(86.67%、85.00%)显著高于常规超声(61.54%、54.17%),差异有统计学意义(P<0.05);两组患者Vs、Vd、PI和RI相关参数比较,彩色多普勒超声下患者Vs、Vd、PI和较常规超声高,RI较常规超声低,差异有显著统计学意义(P<0.05);VR、PI、Vd及Vs参数水平分析经腹彩超对子宫肌瘤、子宫腺肌症诊断的ROC曲线下面积分别为0.754、0.642、0.681、0.787,敏感度分别为52.00%、80.00%、40.00%、48.00%,特异度为90.00%、74.00%、88.00%、86.00%,差异有统计学意义(P<0.05).结论:经腹彩超对子宫肌瘤、子宫腺肌症的诊断具有较高的临床指导价值.
To Analyze the Diagnostic Value and Clinical Application of Transabdominal Color Ultrasound in Uterine Fibroids and Uterine Adenomyosis
Objective:To evaluate the value of transabdominal color ultrasound in the diagnosis and clinical application of uterine fibroids and adenomyosis.Methods:A total of 100 patients with uterine fibroids and adenomyosis admitted to our hospital from January 2020 to December 2022 were selected as observation objects.Transabdominal color ultrasound and routine ultrasound were used for all patients,and pathological examination results were used as the gold standard to compare the detection rate of the two groups.Hemodynamic parameters were compared between the two methods,and the diagnostic value of systolic peak flow velocity(Vs),diastolic peak flow velocity(Vd),blood flow pulsation index(PI)and blood flow resistance index(RI)were analyzed by receiver operating characteristic(ROC)curve.Results:The detection rate of transabdominal color ultrasound(86.67%,85.00%)was significantly higher than that of conventional ultrasound(61.54%,54.17%),and the difference was statistically significant(P<0.05).Compared with the relative parameters of Vs,Vd,PI and RI between the two groups,the Vs,Vd,PI and and of patients with color Doppler ultrasound were higher than those with conventional ultrasound,and RI was lower than those with conventional ultrasound,and the difference was statistically significant(P<0.05).The area under ROC curve of VR,PI,Vd and Vs for diagnosis of uterine fibroids and uterine adenomyosis by abdominal color ultrasound was 0.754,0.642,0.681 and 0.787,and the sensitivity was 52.00%,80.00%,40.00%and 48.00%,respectively.The specificity was 90.00%,74.00%,88.00%,86.00%,and the difference was statistically significant(P<0.05).Conclusion:Transabdominal color ultrasonography has a high clinical value in the diagnosis of uterine fibroids and uterine adenomyosis.

transabdominal color ultrasounduterine fibroidsadenomyosisclinical application

王小兵、刘海燕、万瑛

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吉安市中心人民医院妇产科 (江西 吉安 343000)

经腹彩超 子宫肌瘤 子宫腺肌症 临床应用

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(15)