单纯经腹部与联合经阴道超声检查对子宫腺肌病的临床诊断

崔志飞

（陕西省延安市延长县中医医院超声科，陕西 延安，717100）

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摘要：

目的 探讨单纯经腹部超声与联合经阴道超声对子宫腺肌病的临床诊断价值。方法 回顾性分析本院收治的经病理证 实的120 例子宫腺肌病患者的临床资料，患者根据诊断方式分为对照组（单纯经腹部超声检查）与联合组（经腹部超声联合 经阴道超声检查），各60 例。对两种诊断方式的临床价值进行分析。结果 联合组患者子宫腺肌病、合并巧克力囊肿、合并子 宫肌瘤的诊断符合率明显高于对照组（P<0.05）。联合组患者的动脉阻力指数、动脉搏动指数均高于对照组，且血流量少于对 照组（P<0.05）。结论 经腹部超声联合经阴道超声的诊断符合率高，值得应用。

关键词：子宫腺肌病；经腹部超声；经阴道超声；诊断分析

中图分类号：R711.71文献标志码：A文章编号：2096-1413(2018)06-0143-02

Clinical diagnosis of simple transabdominal and combined with transvaginal ultrasonography in adenomyosis
CUI Zhi-fei
(Ultrasonography Department, Traditional Chinese Medicine Hospital of Yanchang County, Yan``an 717100, China)

ABSTRACT: Objective To evaluate the clinical value of transabdominal combined with transvaginal ultrasonography in the diagnosis of adenomyosis. Methods The clinical data of 120 patients with adenomyosis who were confirmed by pathology were retrospectively analyzed. The patients were divided into control group (detected with simple transabdominal ultrasound) and combined group (detected with transabdominal combined with transvaginal ultrasonography) according to the diagnosis methods, with 60 cases in each group. The clinical detection values of the two diagnostic methods were analyzed. Results The diagnostic coincidence rates of uterine adenomyosis, combined chocolate cyst, combined uterine fibroids in the combined group were significantly higher than those in the control group (P<0.05). Arterial resistance index and arterial pulse index in the combined group were higher than those in the control group, and the blood flow was less than that in the control group (P<0.05). Conclusion Transabdominal combined with transvaginal ultrasonography in the diagnosis of adenomyosis has higher diagnostic coincidence rate, which is worthy of application.
KEYWORDS: uterine adenomyosis; transabdominal ultrasonography; transvaginal ultrasonography; diagnostic analysis

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