摘要
目的:分析经阴道彩色多普勒超声(Transvaginal color Doppler ultrasound,TVCDU)血流显像在子宫肌瘤的诊断意义.方法:选择2022年1月到2023年12月期间本院收治的疑似子宫肌瘤病人106例作为研究对象.患者均分别进行TVCDU血流显像和经腹部彩色多普勒超声(Transabdominal color Doppler ultrasound,TVCDS)检查.以穿刺病理结果为诊断子宫肌瘤的"金标准",统计TVCDU血流显像和TVCDS诊断的诊断结果和诊断效能,分析TVCDU血流显像和TVCDS诊断的预测值.结果:106例疑似子宫肌瘤病人中,金标准确诊阳性和阴性的分别为39例、67例.TVCDU血流显像检查出真阳性和真阴性分别为38例、66例;TVCDS检查出真阳性和真阴性分别为31例、58例;TVCDU血流显像诊断灵敏度97.44%(38/39)、特异度98.51%(66/67)、准确度98.11%(104/106)较TVCDS诊断的79.49%(31/39)、86.57%(58/67)、83.96%(89/106)显著提高,漏诊率2.56%(1/39)、误诊率1.49%(1/67)较TVCDS诊断的20.51%(8/39)、13.43%(9/67)显著降低(P<0.05).TVCDU血流显像诊断阳性预测值97.44%(38/39)、阴性预测值98.51%(66/67)较TVCDS诊断的77.50%(31/40)、87.88%(58/64)显著提高(P<0.05).结论:TVCDU血流显像应用于子宫肌瘤诊断中能显著提升诊断灵敏度和准确度,减少漏诊及误诊事件的发生,且预测值良好.
Objective:To analyze the significance of Transvaginal color Doppler ultrasound(TVCDU)blood flow imaging in the diagnosis of uterine fibroids.Methods:106 patients with suspected uterine fibroids admitted to our hospital from January 2022 to December 2023 were selected as the study objects.All patients underwent TVCDU blood flow imaging and Transabdominal color Doppler ultrasound(TVCDS)respectively.With puncture pathology as the"gold standard"for the diagnosis of uterine fibroids,the diagnostic results and diagnostic efficacy of TVCDU blood flow imaging and TVCDS were analyzed.Results:Among 106 suspected patients with uterine fibroids,39 cases were positive and 67 cases were negative.TVCDU blood flow imaging showed true positive and true negative in 38 cases and 66 cases,respectively.The true positive and true negative results of TVCDS were 31 and 58 cases respectively.The diagnostic sensitivity,specificity and accuracy of TVCDU blood flow imaging were 97.44%(38/39),98.51%(66/67)and 98.11%(104/106),which were significantly higher than those of TVCDS,79.49%(31/39),86.57%(58/67)and 83.96%(89/106).The missed diagnosis rate of 2.56%(1/39)and misdiagnosis rate of 1.49%(1/67)were significantly lower than those diagnosed by TVCDS 20.51%(8/39)and 13.43%(9/67)(P<0.05).The positive predictive value of TVCDU was 97.44%(38/39)and the negative predictive value of TVCDU was 98.51%(66/67)compared with 77.50%(31/40)and 87.88%(58/64)of TVCDS(P<0.05).Conclusion:The application of TVCDU blood flow imaging in the diagnosis of uterine fibroids can significantly improve the diagnostic sensitivity and accuracy,reduce the occurrence of missed diagnosis and misdiagnosis events,and the predictive value is good.
作者
马慧
董凌云
谢金美
Ma Hui;Dong Ling-yun;Xie Jin-mei(Department of Ultrasound,Zhumadian First People's Hospital,Zhumadian 463000,Henan,China)
关键词
子宫肌瘤
经阴道彩色多普勒超声
血流显像
Uterine fibroids
Transvaginal color Doppler ultrasound
Flow imaging
作者简介
马慧,女,主治医师,主要从事超声科临床诊断,Email:15290173109@163.com。
