摘要
目的探讨经腹超声和经阴道超声诊断盆腔子宫内膜异位症的临床价值。方法选择我院2015年1月至2016年10月收治的疑似盆腔子宫内膜异位症患者112例,均进行经腹超声、经阴道超声诊断,以腹腔镜诊断结果为金标准,比较两种检查方法的诊断效能。结果腹腔镜确诊阴性23例,阳性89例。经腹超声诊断盆腔子宫内膜异位症的准确性为93.75%,灵敏性为95.51%,特异性为86.96%;经阴道超声诊断盆腔子宫内膜异位症的准确性为99.11%,灵敏性为100.00%,特异性为95.65%;两种方法的准确性、灵敏性无统计学差异(P>0.05),经阴道超声的特异性显著高于经腹超声(P<0.05)。结论经阴道超声在诊断盆腔子宫内膜异位症方面较经腹超声具有较高的临床价值。
Objective To explore the clinical value of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of pelvic endometriosis. Methods 112 cases of patients with suspected pelvic endometriosis admitted to our hospital from January 2015 to October 2016 were selected, and all patients were diagnosed by transabdominal ultrasound and transvaginal ultrasound. With laparoscopic diagnosis as gold standard, the difference in diagnostic efficiency between two examination methods was compared. Results 23 negative eases and 89 positive cases were found by laparoseopic diagnosis. The accuracy, sensitivity and specificity of transabdominal ultrasound were 93.75%, 95.51% and 86.96% respectively, and the accuracy, sensitivity and specificity of transvaginal ultrasound were 99.11%, 100.00% and 95.65% respectively; No statistical difference was found between two examination methods in the accuracy or sensitivity （both P〉0.05）, while the specificity of transvaginal ultrasound was significantly higher than that of transabdominal ultrasound, with statistical difference （P 〈0.05）. Conclusions Transvaginal ultrasound has higher clinical value than transabdominal ultrasound in the diagnosis of pelvic endometriosis.
出处
《临床医学工程》
2017年第12期1651-1652,共2页
Clinical Medicine & Engineering
关键词
经腹超声
经阴道超声
盆腔子宫内膜异位症
临床价值
Transabdominal ultrasound
Transvaginal ultrasound
Pelvic endometriosis
Clinical value
