摘要
目的探讨在子宫肌瘤诊断中应用经腹联合经阴道超声检查的价值。方法选择本院收治的150例疑似子宫肌瘤患者为研究对象。患者均接受经腹、经阴道超声检查,以病理诊断为金标准,比较联合检查的诊断效能及对不同部位病灶的检出率。结果联合超声检查的诊断准确率为98.00%(147/150)、敏感度为97.87%(92/94)、特异度为98.21%(55/56)、阳性预测值为98.92%(92/93)、阴性预测值为96.49%(55/57),分别高于经腹超声与经阴道超声单独检查(P<0.05)。联合超声检查对肌壁间肌瘤的检出率为98.48%(65/66),分别高于经腹、经阴道超声单独检查(P<0.05)。结论在子宫肌瘤诊断中应用经腹联合经阴道超声检查的价值显著,具有较高的诊断效能,可以有效辨别各部位的子宫肌瘤,为后续治疗方案的制定提供科学依据,值得推广。
Objective To explore the value of combined transabdominal and transvaginal ultrasound in the diagnosis of uterine fibroids.Methods 150 suspected patients with uterine fibroids admitted to our hospital were selected as the research subjects,All patients underwent transabdominal and transvaginal ultrasound examinations,with pathological diagnosis as the gold standard.The diagnostic efficacy of the combined examination and the detection rate of lesions in different parts were compared.Results The diagnostic accuracy of combined ultrasound examination was 98.00%(147/150),sensitivity was 97.87%(92/94),specificity was 98.21%(55/56),positive predictive value was 98.92%(92/93),and negative predictive value was 96.49%(55/57),respectively,higher than that of single detection by transabdominal ultrasound and transvaginal ultrasound(P<0.05):The detection rate of intramural fibroids by combined ultrasound examination was 98.48%(65/66),which was higher than that of abdominal and vaginal ultrasound examination alone(P<0.05).Conclusion The application of transabdominal combined with transvaginal ultrasound in the diagnosis of uterine fibroids has significant value and high diagnostic efficacy.It can effectively distinguish uterine fibroids in various parts and provide scientific basis for the formulation of subsequent treatment plans,which is worth promoting.
作者
于林娟
Yu Linjuan(Ultrasound Room,the Fourth People's Hospital of Rudong County,Nantong 226400,China)
出处
《实用妇科内分泌电子杂志》
2024年第15期107-109,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
子宫肌瘤
经腹超声
经阴道超声
诊断价值
Uterine fibroids
Transabdominal ultrasound
Transvaginal ultrasound
Diagnostic value
