中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
182-183
,共2页
腹部超声%阴道超声%子宫腺肌病%诊断%临床价值
腹部超聲%陰道超聲%子宮腺肌病%診斷%臨床價值
복부초성%음도초성%자궁선기병%진단%림상개치
Abdomen Ultrasound%Transvaginal Ultrasonography%Adenomyosis%Diagnosis%Clinical Value
目的：研究经腹部超声检查与联合经阴道超声检查对子宫腺肌病的临床诊断价值。方法临床纳入120例该院2012年8月-2014年8月期间妇科收治的子宫腺肌病患者。将所有患者按随机抽样法分为两组，各60例。其中60例患者单纯使用经腹部超声进行检查作为对照组，另60例患者联合使用经阴道超声检查作为观察组。结果对照组患者子宫腺肌病确诊率仅为76.67%，合并巧克力囊肿确诊率为50%，合并子宫肌瘤确诊率为确诊率为60%；观察组患者子宫腺肌病确诊率为91.67%，合并巧克力囊肿确诊率为88.89%，合并子宫肌瘤确诊率为确诊率为90%，确诊率明显高于对照组(P<0.05)；而观察组、对照组的动脉阻力指数与动脉搏动指数对比无差异(P>0.05)。结论子宫腺肌病患者使用联合经阴道超声检查临床诊断率较高，值得临床应用及推广。
目的：研究經腹部超聲檢查與聯閤經陰道超聲檢查對子宮腺肌病的臨床診斷價值。方法臨床納入120例該院2012年8月-2014年8月期間婦科收治的子宮腺肌病患者。將所有患者按隨機抽樣法分為兩組，各60例。其中60例患者單純使用經腹部超聲進行檢查作為對照組，另60例患者聯閤使用經陰道超聲檢查作為觀察組。結果對照組患者子宮腺肌病確診率僅為76.67%，閤併巧剋力囊腫確診率為50%，閤併子宮肌瘤確診率為確診率為60%；觀察組患者子宮腺肌病確診率為91.67%，閤併巧剋力囊腫確診率為88.89%，閤併子宮肌瘤確診率為確診率為90%，確診率明顯高于對照組(P<0.05)；而觀察組、對照組的動脈阻力指數與動脈搏動指數對比無差異(P>0.05)。結論子宮腺肌病患者使用聯閤經陰道超聲檢查臨床診斷率較高，值得臨床應用及推廣。
목적：연구경복부초성검사여연합경음도초성검사대자궁선기병적림상진단개치。방법림상납입120례해원2012년8월-2014년8월기간부과수치적자궁선기병환자。장소유환자안수궤추양법분위량조，각60례。기중60례환자단순사용경복부초성진행검사작위대조조，령60례환자연합사용경음도초성검사작위관찰조。결과대조조환자자궁선기병학진솔부위76.67%，합병교극력낭종학진솔위50%，합병자궁기류학진솔위학진솔위60%；관찰조환자자궁선기병학진솔위91.67%，합병교극력낭종학진솔위88.89%，합병자궁기류학진솔위학진솔위90%，학진솔명현고우대조조(P<0.05)；이관찰조、대조조적동맥조력지수여동맥박동지수대비무차이(P>0.05)。결론자궁선기병환자사용연합경음도초성검사림상진단솔교고，치득림상응용급추엄。
Objective To study the clinical diagnosis value of trans-abdominal ultrasound and combined transvaginal ultrasonogra-phy for adenomyosis. Methods 120 patients with adenomyosis treated from August 2012 to August 2014 in our Gynecology De-partment were selected and randomly divided into two groups, 60 cases in each group. The control group adopted trans-abdominal ultrasound and observation group adopted the combined transvaginal ultrasonography. Results For control group, the diagnostic rate of adenomyosis was 76.67%;the combined rate with chocolate cyst was 50%;the combined rate with hysteromyoma was 60%. For observation group, the diagnostic rate of adenomyosis was 91.67%; the combined rate with chocolate cyst was 88.89%; the combined rate with hysteromyoma was 90% (P<0.05). The resistance index and pulsatility index of two groups were not different (P>0.05). Conclusion For patients with adenomyosis, the combined trans-vaginal ultrasonography has a higher diagnostic rate in clinical practices. It is worthy of clinical application and promotion.
