阴道三维彩色多普勒超声对子宫腺肌症的诊断价值

摘要

Objective Analysis and discussion of the three-dimensional transvaginal color Doppler ul-trasound diagnostic value and significance of adenomyosis, and provide scientific basis and guidance method for the diagnosis of adenomyosis. Methods Baoding adenomyosis patients first admitted to the hospital from August 2010 to August 2012 a total of 88 cases during the period, taking a three-dimensional color Doppler transvaginal ultrasound and abdominal ultrasound to check all the results were related to patient pathology or surgical results were compared to compare the accuracy of the two methods. Results of 88 patients using transvaginal three-dimensional color Doppler ultrasound, diagnostic accuracy was 89. 7%, while by abdomi-nal ultrasound, diagnostic accuracy was 60. 2%, the rate of two detection method for diagnosing a true difference was statistically significant (P<0. 05). Adenomyosis patients with vaginal three-dimensional col-or Doppler ultrasound imaging features mainly uterus, myometrium slightly stronger inside presence and ac-companied by enhanced echo echo spot lesions short of memory or short branched flow signals. Conclusion For patients with adenomyosis, using transvaginal three-dimensional color Doppler ultrasound with high ac-curacy, and check the safety of non-invasive, patient tolerance and strong, so the more worthy of promotion and clinical applications.%目的：分析与探讨阴道三维彩色多普勒超声对子宫腺肌症的临床诊断价值与意义，为子宫腺肌症的诊断提供科学依据与指导方法。方法选取保定市第一医院2010年8月至2012年8月期间收治的子宫腺肌症患者共88例，采取经阴道三维彩色多普勒超声和腹部超声进行检查，所有结果均与患者病理学或手术结果相对比，以比较两种检查方法的准确率。结果88例患者采用经阴道三维彩色多普勒超声检查，诊断准确率为89.7%，而通过腹部超声检查，诊断准确率为60.2%，两种检测方法诊断真确率比较差异有统计学意义(P<0.05)。子宫腺肌症患者阴道三维彩色多普勒超声的影像学特点主要为子宫增大、肌层内部存在稍强回声并伴有增强回声光斑、病灶内存在短条或短枝状血流信号等。结论对于子宫腺肌症患者，采用阴道三维彩色多普勒超声检查具有较高的准确性，且检查安全无创，患者耐受性强，因此在临床上更值得进行推广与应用。