探讨子宫腺肌症超声影像检查特征与超声诊断价值

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1、探讨子宫腺肌症超声影像检查特征与超声诊断价值安达市医院151400【摘要】目的研究并探讨子宫腺肌症超声影像检查特征及诊断价值。方法此次研宄的对象是选择在2010年3月一2015年5月诊治的60例子宫腺肌症患者，将其临床资料进行回顾性分析，并分别采用经阴道彩色多普勒超声检查与经腹部彩色多普勒超声检查，分析超声影像特征及超声诊断应用价值。结果采用经阴道超声检查发现58例患者子宫增大，腹部超声发现34例患者子宫增大；经阴道超声检查确诊子宫腺肌症53例，诊断符合率为88.3%,腹部超声检查确诊子宫腺肌症40例，诊断符合率66.7

2、%,差异有统计学意义(P<0.05)；经阴道超声与腹部超声检查确诊合并子宫肌瘤均为11例，诊断符合率84.6%;经阴道超声检查确诊合并子宫囊肿23例，诊断符合率92.0%,腹部超声检查确诊19例，诊断符合率76.0%,差异无统计学意义(P>0.05)o结论采用超声影像检查子宫腺肌症具有明显特征，其中经阴道彩色多普勒超声用于子宫腺肌症检查时可排除肠道气体干扰，获取清晰的二维图像，对子宫腺肌症的临床诊断提供重要参考。【关键词】子宫腺肌症；超声诊断；特征分析[Abstract]ObjectiveTostudyand

3、discussthecharacteristicsanddiagnosticvalueofultrasoundimaginginthediagnosisofuterineglandmuscledisease.MethodthestudyobjectisselectedinMarch2010-2015maymakeadiagnosisandgivetreatmentof60casesofadenomyosispatients,theclinicaldatawereretrospectivelyanalyzed,andwer

4、eusedbytransvaginalcolorDopplerultrasoundandtransabdominalcolorDopplerultrasoundexaminationandanalysisofultrasonicimagecharacteristicsandtheultrasonicdiagnosticvalue.Resultsthetransvaginalultrasoundexaminationfound58casesofpatientswithuterineenlargementandabdomin

5、alultrasoundfound34patientswithuterineenlargement；53casesbyvaginalultrasoundexaminationconfirmedthediagnosisofuterineadenomyosis,thediagnosticaccordanceratewas883%,40casesofabdominalultrasoundexaminationconfirmedthediagnosisofuterineadenomyosis，diagnosticaccordan

6、ceratewas66.7%,thedifferenceisstatisticallysignificant(P<0.05)；bytransvaginalultrasoundandtransabdominalultrasounddiagnosedwithuterinefibroidswere11cases.Thediagnosticaccordanceratewas84.6%.23casesbyvaginalultrasounddiagnosedwithuterinecysts，diagnosticaccordan

7、ceratewas92.0%,abdominalultrasoundexaminationconfirmedthediagnosisof19cases，thediagnosticaccordanceratewas76.0%,thedifferencewasnotstatisticallysignificant(P>0.05)•Conclusiontheultrasonographicexaminationoftheuterineadenomyosishasobviouscharacteristics,includi

8、ngtransvaginalcolorDopplerultrasoundforuterineadenomyosischeckcanremoveintestinalgasinterferenceobtainclear2-Dimagesandclinicaldiagnosisofuterineadenomyosispro