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分析比较经腹彩超及经阴道彩超诊断子宫肌瘤的临床价值 被引量:24

Transabdominal Versus Transvaginal Color Doppler Ultrasonography for Diagnosis of Fibroids
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摘要 目的对经腹彩超以及经阴道彩超诊断子宫肌瘤的临床价值进行比较分析。方法回顾性分析2013年1月—2013年12月到该院进行经腹彩超以及经阴道彩超检查的216例妇女的检查结果。先经腹彩超检查子宫后,再行经阴道彩超检查。结果将诊断的结果与术后的病理检查以及术后随访的结果进行比较,发现在216例患者中,术前经腹彩超诊断出178例,其中浆膜下肌瘤65例;肌壁间肌瘤86例;黏膜下肌瘤27例。肌瘤最大9.8 cm×8.5 cm,最小0.7 cm×0.7 cmn。诊断符合率为82.4%。术前经阴道彩超诊断202例肌瘤,其中浆膜下肌瘤70例;肌壁间肌瘤99例,黏膜下肌瘤33例。肌瘤最大10.4 cm×9.0 cm,最小0.5 cm×0.4 cm。诊断符合率为93.5%。两组比较差异有统计学意义(P<0.05)。结论通过比较分析可以看出经阴道彩超与经腹彩超相比,具有更高的诊断率。 Objective To compare the diagnostic value of transabdominal and transvaginal color Doppler ultrasonography for fibroids.Methods The examination results of 216 women who received transabdominal and transvaginal color doppler ultrasonography in our hospital during January 2013 and December 2013 were retrospectively studied.Transvaginal color doppler ultrasonography was performed after transabdominal color doppler ultrasonography.Results Comparison of diagnosis results with postoperative pathological examination and postoperative follow-up showed that of the 216 patients,178 cases were diagnosed by preoperative transabdominal ultrasound,including 65 cases of subserosal fibroids;86 cases of intramural fibroids and 27 cases of submucosal fibroids.The largest fibroid was 9.8cm × 8.5cm,the.smallest was 0.7cm × 0.7cm,and diagnosis rate was 82.4%.202 cases were diagnosed by preoperative transvaginal ultrasound,including 70 cases of subserosal fibroids;99 cases of intramural fibroids and 33 cases of submucosal fibroids.The maximum fibroid was 10.4cm× 9.0cm,the smallest was 0.5cm ×0.4cm.The diagnosis rate was 93.5%.There was statistically significant difference between the two groups.Conclusion The transvaginal route may be more accurate in the diagnosis of fibroids.
出处 《中外医疗》 2015年第17期183-184,187,共3页 China & Foreign Medical Treatment
关键词 经腹彩超 经阴道彩超 子宫肌瘤 Transabdominal ultrasound Transvaginal ultrasound Fibroids
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