摘要
目的 分析经阴道彩色多普勒超声诊断子宫肌瘤和子宫腺肌病的超声表现及其特征,探讨其临床诊断价值.方法 选取2017年3月至2018年3月在太原市太航医院诊治的58例疑似子宫肌瘤患者和50例疑似子宫腺肌病患者.观察并记录患者子宫肿块形态、超声表现、收缩期峰值血流速度（PSV）、舒张末期血流速度（EDV）、搏动指数（PI）、阻力指数（RI）并评估其诊断价值.结果 子宫肌瘤、子宫腺肌病的病理诊断符合率分别为93.10％、90.00％（P〉0.05）,子宫肌瘤患者的PI、RI均低于子宫腺肌病（P均〈0.05）.子宫肌瘤患者的Adler与肿块内血流信号分级均以Ⅰ、Ⅱ级为主,而子宫腺肌病的Adler与肿块内血流信号分级以0、Ⅰ级为主,差异有统计学意义（P〈0.05）.RI、PI诊断子宫肌瘤的敏感性分别为74.07％、77.78％,RI、PI诊断子宫腺肌病的特异性分别为69.57％、73.91％.结论 经阴道彩色多普勒超声诊断子宫肌层良性病变不仅可清晰评估子宫肿块形态结构变化,还能动态监测其血供状态,结合PI与RI可提高诊断的敏感性与特异性,具有较高的诊断与鉴别价值.
Objective To analyze the ultrasonographic features and ultrasound manifestations of uterus myoma and adenomyosis diagnosed by transvaginal color Doppler sonography , and to investigate its clinical diagnostic value .Methods Fifty-eight patients suspected with uterus myoma and 50 patients suspected with adenomyosis who were diagnosed and treated in Taiyuan Taihang Hospital from March 2017 to March 2018 were selected as research objects .The morphology , ultrasonic manifestations of the uterus, peak systolic blood flow （ PSV ） , end-diastolic velocity （ EDV ） , pulsatility index （ PI ） , resistance index （ RI） of all patients were observed and recorded , and diagnostic value of these indexes was evaluated . Results The coincidence rates of pathological diagnosis of uterus myoma and adenomyosis were 93.10%and 90.00%, respectively （ P〉0.05 ） .The levels of PI and RI of patients with uterus myoma were lower than those of patients with adenomyosis （ P all〈0.05 ） .Adler and mass flow signal grades of uterus myoma were mainly graded Ⅰ and Ⅱ.Adler and mass flow signals of adenomyosis were graded 0 and Ⅰ, the difference was statistically significant （ P〈0.05 ） . The sensitivity of RI and PI in diagnosing uterus myoma was 74.07% and 77.78%, respectively.The specificity of RI and PI in diagnosing adenomyosis was 69.57% and 73.91%, respectively . Conclusions Transvaginal color Doppler ultrasound in the diagnosis of myometrial benign lesions not only can clearly assess morphological changes of uterine mass , but also can dynamically monitor the blood supply status .And transvaginal color Doppler ultrasound combined with PI and RI can enhance the diagnostic sensitivity and specificity , which has a higher diagnostic and differential diagnosis value .
作者
郭玉瑞
Duo Yurui(Department of Ultrasound Function,Taiyuan Taihang Hospital,Taiyuan 030006,China)
出处
《中国实用医刊》
2018年第17期123-125,F0004,共4页
Chinese Journal of Practical Medicine
作者简介
通信作者：郭玉瑞，Email：z8615b@163．com
