[1]刘 娜.经腹部超声联合经阴道超声诊断子宫肌瘤的价值分析[J].医学信息,2023,36(18):164-166170.[doi:10.3969/j.issn.1006-1959.2023.18.033]
　LIU Na.Value Analysis of Transabdominal Ultrasound Combined with Transvaginal Ultrasound in the Diagnosis of Uterine Fibroids[J].Journal of Medical Information,2023,36(18):164-166170.[doi:10.3969/j.issn.1006-1959.2023.18.033]
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经腹部超声联合经阴道超声诊断子宫肌瘤的价值分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年18期
页码:
164-166170
栏目:
诊疗技术
出版日期:
2023-09-15

文章信息/Info

Title:
Value Analysis of Transabdominal Ultrasound Combined with Transvaginal Ultrasound in the Diagnosis of Uterine Fibroids
文章编号:
1006-1959（2023）18-0164-04
作者:
刘 娜
（萍乡市湘东区妇幼保健院超声科，江西 萍乡 337000）
Author(s):
LIU Na
(Department of Ultrasound,Xiangdong District Maternal and Child Health Hospital,Pingxiang 337000,Jiangxi,China)
关键词:
经腹部超声; 子宫肌瘤; 经阴道超声; 诊断价值
Keywords:
Transabdominal ultrasound; Uterine fibroid; Transvaginal ultrasound; Diagnostic value
分类号:
R445.1；R737.33
DOI:
10.3969/j.issn.1006-1959.2023.18.033
文献标志码:
A
摘要:
目的 观察经腹部超声联合经阴道超声诊断子宫肌瘤的价值。方法 选取2019年8月-2022年8月我院接诊的66例子宫肌瘤患者为研究对象，分别进行经腹部超声、经阴道超声以及经腹部超声+经阴道超声检查，比较不同检查方法子宫肌瘤检出率、不同检查方法诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值）、子宫动脉血流动力学指标（血流速度、动脉阻力指数、动脉搏动指数）。结果 经腹部超声+经阴道超声检查子宫肌瘤（黏膜下肌瘤、阔韧带肌瘤、肌壁间肌瘤、浆膜下肌瘤）检出率为98.48%，高于经腹部超声的90.91%和经阴道超声的77.27%（P＜0.05）；经腹部超声+经阴道超声诊断子宫肌瘤灵敏度、特异度、准确率、阳性预测值、阴性预测值均高于经腹部超声、经阴道超声（P＜0.05）；经腹部超声+经阴道超声检查血流速度、动脉阻力指数、动脉搏动指数均高于经腹部超声、经阴道超声检查（P＜0.05）。结论 采用经腹部与经阴道彩色多普勒超声联合检查可提高子宫肌瘤诊断效能，明确子宫动脉血流动力学指标，为临床的诊治提供参考。
Abstract:
Objective To observe the value of transabdominal ultrasound combined with transvaginal ultrasound in the diagnosis of uterine fibroids.Methods A total of 66 patients with uterine fibroids who were admitted to our hospital from August 2019 to August 2022 were selected as the research objects. Transabdominal ultrasound, transvaginal ultrasound and transabdominal ultrasound + transvaginal ultrasound were performed respectively. The detection rate of uterine fibroids by different examination methods, the diagnostic efficacy of different examination methods (sensitivity, specificity, accuracy, positive predictive value, negative predictive value), and uterine artery hemodynamics (blood flow velocity, arterial resistance index, arterial pulsation index) were compared.Results The detection rate of uterine fibroids (submucosal fibroids, broad ligament fibroids, intramural fibroids, subserous fibroids) by transabdominal ultrasound+transvaginal ultrasound was 98.48%, which was higher than 90.91% by transabdominal ultrasound and 77.27% by transvaginal ultrasound (P<0.05). The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of transabdominal ultrasound + transvaginal ultrasound in the diagnosis of uterine fibroids were higher than those of transabdominal ultrasound and transvaginal ultrasound (P<0.05). The blood flow velocity, arterial resistance index and arterial pulsation index of transabdominal ultrasound+transvaginal ultrasound were higher than those of transabdominal ultrasound and transvaginal ultrasound (P<0.05).Conclusion The combined examination of transabdominal and transvaginal color Doppler ultrasound can improve the diagnostic efficiency of uterine fibroids, clarify the hemodynamic indexes of uterine artery, and provide reference for clinical diagnosis and treatment.

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更新日期/Last Update: 1900-01-01