摘要
目的探究在子宫肌瘤、腺肌症及腺肌瘤诊断中应用经阴道彩色多普勒超声诊断技术的临床价值。方法回顾性分析100例患有子宫肌瘤、腺肌症或腺肌瘤患者的临床资料。所有患者均采用经阴道彩色多普勒超声诊断技术进行诊断,以手术病理诊断结果作为金标准,分析经阴道彩色多普勒超声诊断的符合率和血流状态,观察三种疾病的影像学特征。结果经阴道彩色多普勒超声诊断结果显示,子宫肌瘤符合率为97.73%(43/44),子宫腺肌症符合率为93.94%(31/33),子宫腺肌瘤符合率为89.96%(20/23)。经阴道彩色多普勒超声检查显示,三种疾病血流阻力指数(RI)、血流搏动指数(PI)、舒张期峰值速度(Vd)及收缩期峰值速度(Vs)比较,差异均有统计学意义(P<0.05)。结论在子宫肌瘤、腺肌症及腺肌瘤诊断中应用经阴道彩色多普勒超声诊断技术具有较高临床价值,可将患者的子宫组织结构清晰呈现,有助于提高临床诊断符合率,具有推广价值。
Objective To investigate the clinical value of transvaginal color Doppler ultrasonography in the diagnosis of uterine fibroids,adenomyosis and adenomyoma.Methods The clinical data of 100 patients with uterine fibroids,adenomyosis or adenomyoma were retrospectively analyzed.All patients were diagnosed by transvaginal color Doppler ultrasonography.Taking the results of surgical and pathological diagnosis as the gold standard,the coincidence rate and blood flow status of transvaginal color Doppler ultrasonography were analyzed,and the imaging characteristics of the three diseases were observed.Results The diagnostic results of transvaginal color Doppler ultrasonography showed that the coincidence rate of uterine fibroids was 97.73%(43/44),the coincidence rate of adenomyosis was 93.94%(31/33),and the coincidence rate of adenomyoma was 89.96%(20/23).Transvaginal color Doppler ultrasonography showed statistically significant differences(P<0.05)when comparing flow resistance index(RI),flow pulsatility index(PI),peak diastolic velocity(Vd)and peak systolic velocity(Vs)in all three diseases.Conclusion Transvaginal Color Doppler ultrasonography is of high value in the diagnosis of hysteromyoma,adenomyosis and adenomyoma.It can clearly present the uterine tissue structure,help to improve the diagnostic coincidence rate and has popularization value.
作者
张丽玲
ZHANG Li-ling(Department of Ultrasound,Beipiao Central Hospital,Beipiao 122100,China)
出处
《中国现代药物应用》
2022年第7期71-73,共3页
Chinese Journal of Modern Drug Application