腹部超声常规在子宫肌瘤患者中的临床诊断效果研究
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摘要
目的:探讨腹部超声常规检查在子宫肌瘤患者中的临床诊断效果。方法:取2014年11月-2016年12月医院收治子宫肌瘤患者113例,患者均经过手术病理检查最终得到确诊,均采用经腹部超声常规扫查法进行检查,确定病灶的大小、形态、回声特征,将诊断结果与手术病理结果进行比较。结果:113例患者均经过手术病理诊断得到确诊,排在前三位的分别为:肌壁间肌瘤、黏膜下肌瘤、浆膜下肌瘤,分别占56.64%、15.93%和12.39%。患者经腹部超声常规检查诊断准确率为92.04%,临床误诊率为4.42%,诊断漏诊率为3.54%;腹部超声常规检查子宫肌瘤病灶区内血流较少,见稀疏的短条状血流,肌瘤瘤体内部血供不丰富,周边血供较内部血供更加丰富,并且内部主要以静脉血流多,局部病灶周围见环状,稀少血流信号,周边血流明显高于瘤体内血流平均阻力指数。结论:子宫肌瘤患者采用腹部超声常规诊断效果理想,能指导临床治疗,值得推广应用。
Objective: To investigate the clinical diagnostic effects of abdominal ultrasound routine examination in patients with uterine fibroids. Methods: From November 2014 to December 2016, 113 patients with uterine fibroids were admitted to the hospital. All patients were finally diagnosed by surgical pathological examination. All patients were examined by conventional abdominal ultrasound scans to determine the size and shape of the lesions. Echo characteristics, comparing the results of the diagnosis with surgical pathology results. Results: All the 113 patients were confirmed by surgical pathological diagnosis. The top three were intramural fibroids, submucosal fibroids, and subserosal fibroids, accounting for 56.64%, 15.93%, and 12.39%, respectively. The diagnostic accuracy of abdominal ultrasound routine examination was 92.04%, the clinical misdiagnosis rate was 4.42%, and the diagnostic missed rate was 3.54%. Abdominal ultrasound routinely examined blood flow in the lesion area of uterine fibroids, see sparse short strips. The internal blood supply of leiomyoma tumor is not abundant, peripheral blood supply is more abundant than internal blood supply, and the main internal venous blood flow is more. Rings are seen around local lesions, and blood flow signals are rare. Peripheral blood flow is significantly higher than blood flow average resistance index in tumors. Conclusion: The routine diagnosis of uterine fibroids using abdominal ultrasound is ideal. It can guide clinical treatment and is worthy of popularization and application.
Objective: To investigate the clinical diagnostic effects of abdominal ultrasound routine examination in patients with uterine fibroids. Methods: From November 2014 to December 2016, 113 patients with uterine fibroids were admitted to the hospital. All patients were finally diagnosed by surgical pathological examination. All patients were examined by conventional abdominal ultrasound scans to determine the size and shape of the lesions. Echo characteristics, comparing the results of the diagnosis with surgical pathology results. Results: All the 113 patients were confirmed by surgical pathological diagnosis. The top three were intramural fibroids, submucosal fibroids, and subserosal fibroids, accounting for 56.64%, 15.93%, and 12.39%, respectively. The diagnostic accuracy of abdominal ultrasound routine examination was 92.04%, the clinical misdiagnosis rate was 4.42%, and the diagnostic missed rate was 3.54%. Abdominal ultrasound routinely examined blood flow in the lesion area of uterine fibroids, see sparse short strips. The internal blood supply of leiomyoma tumor is not abundant, peripheral blood supply is more abundant than internal blood supply, and the main internal venous blood flow is more. Rings are seen around local lesions, and blood flow signals are rare. Peripheral blood flow is significantly higher than blood flow average resistance index in tumors. Conclusion: The routine diagnosis of uterine fibroids using abdominal ultrasound is ideal. It can guide clinical treatment and is worthy of popularization and application.
引文
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[7]韦超,董江宁,方昕,等.DCE-MRI定量参数预测高强度超声消融术治疗症状性子宫肌瘤首次体积消融率价值[J].临床放射学杂志,2016,35(4):545-550.
[8]田虹,邹建中.丙酸睾丸酮在高强度聚焦超声治疗子宫肌瘤中的临床应用[J].中国介入影像与治疗学,2015,12(10):601-605.
[2]陈娇,孔为民,宋丹,等.宫腔镜检查对Ⅱ型子宫内膜癌患者腹腔细胞学结果及预后的影响[J].现代妇产科进展,2016,25(4):257-260.
[3]Tapper AM,Hannola M,Zeitlin R,et al.Asystematic review and cost analysis of robotassisted hysterectomy in malignant and benign conditions[J].Eur J Obstet Gynecol Reprod Biol,2014,15(14):142-144.
[4]刘秋华,陈少芳,杨芳,等.临床路径病友篇在手术治疗子宫肌瘤患者中的应用[J].广东医学,2016,37(1):275-277.
[5]申立华.经腹部超声常规扫查法检查子宫肌瘤的诊断价值[J].黑龙江医药科学,2016,39(1):119-120.
[6]郭清,赵玮,徐锋,等.子宫肌瘤和子宫腺肌瘤高强度聚焦超声的疗效观察[J].中华医学杂志,2015,95(9):693-696.
[7]韦超,董江宁,方昕,等.DCE-MRI定量参数预测高强度超声消融术治疗症状性子宫肌瘤首次体积消融率价值[J].临床放射学杂志,2016,35(4):545-550.
[8]田虹,邹建中.丙酸睾丸酮在高强度聚焦超声治疗子宫肌瘤中的临床应用[J].中国介入影像与治疗学,2015,12(10):601-605.