Ultrasound diagnosis of adenomyosis, leiomyoma, or combined with histopathological correlation.
Ultrasound diagnosis of adenomyosis, leiomyoma, or combined with histopathological correlation.
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DOI：
10.4103/0974-1208.121421
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发表时间：
2013-07
影响因子：
--
通讯作者：
Hanafi M
中科院分区：
文献类型：
--
作者：
Hanafi M
与组织病理学检查结果相比，评估经阴道超声检查（TVS）诊断子宫腺肌病、平滑肌瘤或子宫腺肌病和平滑肌瘤合并症的准确性、敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）。这是一项针对术前 TVS 诊断为子宫腺肌病、平滑肌瘤或两者兼有的患者的回顾性研究。通过TVS诊断为子宫腺肌病或子宫腺肌病和平滑肌瘤合并症的患者接受了子宫切除术。通过 TVS 诊断患有子宫腺肌病和平滑肌瘤的有症状患者接受子宫肌瘤切除术，切除周围可能含有子宫腺肌病的子宫肌层。手术后，医院病理学家进行了组织病理学检查。记录标本的显微镜诊断。 TVS 对子宫腺肌病的诊断敏感但不特异。 TVS对子宫肌瘤及子宫腺肌病和子宫肌瘤的诊断具有灵敏、特异、准确的特点。这项研究表明，TVS 是一种有价值的无创方法，可用于诊断子宫肌瘤以及子宫腺肌病和子宫肌瘤合并症。 TVS 很敏感，但仅对子宫腺肌病的诊断不具有特异性。
To evaluate the accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the diagnosis of adenomyosis, leiomyoma, or combined adenomyosis and leiomyoma by the use of transvaginal ultrasonography (TVS) compared to the histopathological findings. This is a retrospective study of patients with a preoperative TVS diagnosis of adenomyosis, leiomyoma, or combined. Patients diagnosed with adenomyosis or combined adenomyosis and leiomyoma via TVS underwent hysterectomy. Symptomatic patients diagnosed with adenomyosis and leiomyoma via TVS underwent myomectomy with excision of the surrounding myometrium which contained possible adenomyosis. Following surgery, a histopathological examination was performed by the hospital pathologists. The microscopic diagnosis of the specimen was recorded. TVS diagnosis of adenomyosis was sensitive but not specific. TVS was sensitive, specific, and accurate in the diagnosis of leiomyoma and combined adenomyosis and leiomyoma. This study demonstrated that TVS is a valuable noninvasive method that should be utilized in the diagnosis of leiomyoma and combined adenomyosis and leiomyoma. TVS is sensitive, but is not specific in the diagnosis of adenomyosis only.