Value of Transabdominal Combined Transvaginal Color Doppler Ultrasonography in the Distinguish between Uterine Adenomyoma and Uterine Fibroids.
Value of Transabdominal Combined Transvaginal Color Doppler Ultrasonography in the Distinguish between Uterine Adenomyoma and Uterine Fibroids.
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DOI：
10.1155/2022/9599571
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发表时间：
2022
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探讨经腹联合经阴道彩色多普勒超声对子宫腺肌瘤的诊断价值。 选取2019年1月至2021年12月在我院就诊的疑似子宫腺肌瘤患者共80例作为研究对象。均行经腹彩色多普勒超声（TA-CDUS）和经阴道彩色多普勒超声（TV-CDUS）检查，并以术后病理检查结果为金标准，分析不同检查方法对子宫腺肌瘤的诊断效能。 术后病理活检阳性46例（57.50%），阴性34例（42.50%），其中子宫腺肌瘤29例，其他5例。TA-CDUS联合TV-CDUS诊断子宫腺肌瘤的敏感性、准确性和阴性预测值均高于TA-CDUS（P < 0.05），TA-CDUS与病理诊断的Kappa值为0.923，高于TV-CDUS与病理诊断的Kappa值0.615。TA-CDUS结合TV-CDUS显示子宫腺肌瘤与子宫肌瘤患者的Adier血流分级分布有显著性差异子宫腺肌瘤患者Adier血流分级以0级和I级为主;子宫腺肌瘤患者的阻力指数（RI）、收缩期峰值流速（Vs）和搏动指数（PI）均高于子宫肌瘤患者（P < 0.05）。 与TA-CDUS相比，TA-CDUS联合TV-CDUS诊断子宫腺肌瘤的敏感性和准确性更高，且与病理诊断结果具有良好的一致性。在子宫肌瘤的鉴别诊断中应注意血流参数值。
To investigate the value of transabdominal combined transvaginal color Doppler ultrasonography in the diagnosis of uterine adenomyoma. A total of 80 patients with suspected uterine adenomyoma in our hospital from January 2019 to December 2021 were selected as the study subjects. All of them were examined by transabdominal color Doppler ultrasound (TA-CDUS) and transvaginal color Doppler ultrasound (TV-CDUS), and the postoperative pathological examination results were taken as the gold standard to analyze the diagnostic efficacy of different examination methods for uterine adenomyoma. By postoperative pathological biopsy, 46 cases (57.50%) were diagnosed as positive and 34 cases (42.50%) were diagnosed as negative, including 29 cases of uterine adenomyoma and 5 other cases. The sensitivity, accuracy, and negative predictive value of TA-CDUS combined with TV-CDUS in the diagnosis of adenomyoma were higher than those of TA-CDUS (P < 0.05), and the Kappa value between TA-CDUS and pathological diagnosis was 0.923, which was higher than the 0.615 between TV-CDUS and pathological diagnosis. TA-CDUS combined with TV-CDUS showed that there were significant differences in the distribution of Adier blood flow grades between patients with uterine adenomyoma and uterine fibroids (P < 0.05), and the Adier blood flow grades of patients with uterine adenomyoma were mainly grade 0 and grade I; and the resistance index (RI), peak systolic velocity (Vs), and pulsatile index (PI) in patients with uterine adenomyoma were higher than those in patients with uterine fibroids (P < 0.05). Compared with TA-CDUS, TA-CDUS combined with TV-CDUS is more sensitive and accurate in the diagnosis of uterine adenomyoma and has a good consistency with pathological diagnosis results. Attention should be paid to the blood flow parameter values in the differential diagnosis of uterine fibroids.
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影响因子：
3.1
作者：
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影响因子：
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