经腹和经阴道超声在子宫内膜异位症诊断中的应用效果
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摘要
目的比较经腹和经阴道超声在子宫内膜异位症诊断中的应用效果。方法选取我院收治的96例疑似子宫内膜异位症患者为研究对象。所有患者均行经腹及经阴道超声检查,以腹腔镜检查结果作为金标准,比较两种检查方法的诊断效果。结果经阴道超声检查的灵敏度、特异度均高于经腹超声检查,漏诊率、误诊率均低于经腹超声检查,但两组间比较,差异不具有统计学意义(P>0.05);经阴道超声检查的错误率明显低于经腹超声检查,差异具有统计学意义(P<0.05)。经阴道超声检查对附件异位、子宫直肠窝异位及子宫腺肌症的检出率均高于经腹超声检查,但组间比较,差异不具有统计学意义(P>0.05)。结论经阴道超声检查对子宫内膜异位症的诊断准确率略高于经腹超声检查,且其对常见子宫内膜异位症的检出率亦略高于经腹超声检查。因此临床对于无经阴道超声检查禁忌证的患者,建议使用经阴道超声检查。
Objective To compare the application effects of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of endometriosis. Methods Ninety-six patients suspected endometriosis in our hospital were selected as the research objects. All patients underwent transabdominal ultrasound and transvaginal ultrasound, and the results of laparoscopy were used as the gold standard to compare the diagnostic effects of the two methods. Results The sensitivity and specificity of transvaginal ultrasound were higher than those of transabdominal ultrasound, the rates of missed diagnosis and misdiagnosis were lower than those of transabdominal ultrasound, but there were no significant differences between the two groups(P>0.05). The error rate of transvaginal ultrasound was significantly lower than that of transabdominal ultrasound(P<0.05). The detection rates of adnexa ectopia, uterine rectal fossa ectopia and adenomyosis by transvaginal ultrasound were higher than those by transabdominal ultrasound, but there were no significant differences between the two groups(P>0.05).Conclusion The transvaginal ultrasound for endometriosis has slightly higher diagnostic accuracy than transabdominal ultrasound, and the detection rates of which in common endometriosis are slightly higher than those of transabdominal ultrasound. Therefore, for patients without contraindication of detection, the transvaginal ultrasound is recommended.
Objective To compare the application effects of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of endometriosis. Methods Ninety-six patients suspected endometriosis in our hospital were selected as the research objects. All patients underwent transabdominal ultrasound and transvaginal ultrasound, and the results of laparoscopy were used as the gold standard to compare the diagnostic effects of the two methods. Results The sensitivity and specificity of transvaginal ultrasound were higher than those of transabdominal ultrasound, the rates of missed diagnosis and misdiagnosis were lower than those of transabdominal ultrasound, but there were no significant differences between the two groups(P>0.05). The error rate of transvaginal ultrasound was significantly lower than that of transabdominal ultrasound(P<0.05). The detection rates of adnexa ectopia, uterine rectal fossa ectopia and adenomyosis by transvaginal ultrasound were higher than those by transabdominal ultrasound, but there were no significant differences between the two groups(P>0.05).Conclusion The transvaginal ultrasound for endometriosis has slightly higher diagnostic accuracy than transabdominal ultrasound, and the detection rates of which in common endometriosis are slightly higher than those of transabdominal ultrasound. Therefore, for patients without contraindication of detection, the transvaginal ultrasound is recommended.
引文
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[8]茆永云.超声诊断子宫内膜异位症的价值研究[J].实用心脑肺血管病杂志,2013,21(2):140-141.
[9]黄叶.经阴道超声对卵巢巧克力囊肿的诊断价值[J].中国伤残医学,2013,21(7):276-277.
[10]袁雅婷.腹部超声与阴道超声诊断子宫腺肌病60例临床分析[J].现代诊断与治疗,2013,24(16):3810-3811.
[2]张丽萍.经腹部超声与经阴道超声诊断子宫内膜异位症的价值对比[J].临床医学研究与实践,2017,2(29):143-144.
[3]林健谊,罗锦彬.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比较[J].临床医学工程,2017,24(12):1651-1652.
[4]陈晓敏,林琪,张蒂荣.经阴道超声诊断深部浸润型子宫内膜异位症的应用价值[J].黑龙江中医药,2018,47(2):128-129.
[5]沈惠芬,柳健,刘蔚蔚.腹部超声与阴道超声对子宫腺肌病的诊断研究[J].深圳中西医结合杂志,2018,28(14):65-66.
[6]丰峰.阴道超声在子宫内膜异位症诊断中的应用[A].中华医学会.中华医学会超声医学新进展学术会议论文汇编[C].中华医学会:中华医学会,2004:2.
[7]孟宪杰,魏莉,马哲.超声对诊断子宫内膜异位症的临床价值[J].新疆医学,2014,44(8):96-98.
[8]茆永云.超声诊断子宫内膜异位症的价值研究[J].实用心脑肺血管病杂志,2013,21(2):140-141.
[9]黄叶.经阴道超声对卵巢巧克力囊肿的诊断价值[J].中国伤残医学,2013,21(7):276-277.
[10]袁雅婷.腹部超声与阴道超声诊断子宫腺肌病60例临床分析[J].现代诊断与治疗,2013,24(16):3810-3811.