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Clinical value of transvaginal and transabdominal ultrasonography in diagnosis of benign uterine leiomyoma |
Mo Danfei, Wu Wei, Fan Huihui |
Department of Ultrasound, Central Hospital of HuZhou City, Huzhou 313000, China |
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Abstract Objective To research into the clinical value of transvaginal and transabdominal ultrasonography in diagnosis of benign uterine leiomyoma. Methods Totally 413 patients with benign uterine leiomyoma (632 fibroids) in the department of obstetrics and gynecology in our hospital were selected as the research objects. We Analyzed the results of transvaginal ultrasound and transabdominal ultrasound retrospectively. According to the pathological results, we analyzed and compared the results of transvaginal ultrasound, transabdominal ultrasound and combined diagnosis. Results In the diagnosis of different types of uterine fibroids, the diagnostic accuracy of transvaginal ultrasound was significantly higher than that of transabdominal ultrasound besides the subserous myoma, and the difference was statistically significant (P<0.05). The diagnostic accuracy of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of uterine fibroids was 93.51% and 73.10%, respectively, and the diagnostic accuracy rate of combined diagnosis was 99.53%, which was significantly higher than that of single diagnosis (P<0.05). Conclusion In the ultrasonic diagnosis of benign uterine leiomyoma, the diagnostic accuracy of transvaginal ultrasound was significantly higher than that of transabdominal ultrasound. The combined application of the two kinds of ultrasonic diagnosis further improves the accuracy of clinical diagnosis, and avoids the misdiagnosis and misdiagnosis of uterine fibroids to a great extent.
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Received: 03 May 2017
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[1] 田丽丽.彩色超声对子宫肌瘤的临床诊断价值[J].中国肿瘤临床与康复,2014,21(2):159-161. [2] 李宏吉,陆晋元,孙佳,等.平湖市服装厂女工胆石症超声检出情况及影响因素研究[J].中国医院统计,2016,23(2):113-114. [3] 黄小芳.经阴道及经腹部彩色多普勒超声在妇产科急腹症中的应用[J].实用临床医学,2016,17(4):54-57. [4] MARIGLIANO C, PANZIRONI G, MOLISSO L, et al. First experience of real-time elastography with transvaginal approach in assessing response to MRgFUS treatment of uterine fibroids[J]. Radiol Med,2016,121(12):926-934. [5] 谭真,王善宗,孙建.138例子宫肌瘤的病理学分析[J].中国肿瘤临床与康复,2015,22(4):409-411. [6] 闫凯.评估经腹部超声及经阴道超声对小于3厘米子宫黏膜下肌瘤的临床诊断价值[J].吉林医学,2014,35(17):3801-3801. [7] 何宗珊,邹秋果,黄燕,等.经腹及经阴道超声联合应用扫查子宫肌瘤对比分析[J].中国性科学,2016,25(4):48-50. [8] 段红波,邱淑琴.经腹和经阴道超声在子宫肌瘤诊断中的临床价值[J].医学影像学杂志,2015,25(8):1498-1500. [9] GAETKE-UDAGER K, MCLEAN K, SCIALLIS AP,et al. Diagnostic Accuracy of Ultrasound, Contrast-enhanced CT, and Conventional MRI for Differentiating Leiomyoma From Leiomyosarcoma[J]. Acad Radiol,2016,23(10):1290-1297. [10]张华芳.经腹联合经阴道彩色多普勒超声对子宫肌瘤的诊断价值[J].医学影像学杂志,2014,24(9):1658-1660. [11]李洁凤.彩色多普勒超声经腹与经阴道联合诊断484例子宫肌瘤的临床效果[J].检验医学与临床,2014,11(2):249-250. [12]郑静,赵振华,杨建峰,等.磁共振动态增强定量灌注参数在子宫肌瘤病理分型中的应用[J].中华医学杂志,2017,97(15):1155-1159. [13]黄小芳.经阴道及经腹部彩色多普勒超声在妇产科急腹症中的应用[J].实用临床医学,2016,17(4):54-57. [14]熊接文.妇科患者对经阴道超声检查知识知晓状况及影响因素调查[J].中国医院统计,2017,24(2):122-124. [15]侍立峰,吴岩,李彩云,等.经腹超声引导与腹腔镜下射频治疗子宫肌瘤的对比分析[J].中国内镜杂志,2014,20(8):828-831. [16]艾东,王战玲.观察经腹部超声常规扫查法检查子宫肌瘤的临床诊断价值[J].吉林医学,2014,35(23):5146-5146. [17]陈巧英,蒋本贵.子宫内膜癌辅助治疗模式的Meta分析[J].中国医院统计,2016,23(5):335-339. [18]乔生梅.经阴道彩色多普勒超声对子宫肌瘤的诊断价值分析[J].河北医药,2014,36(5):673-674. [19]戎央波.腹腔镜手术联合孕三烯酮和米非司酮治疗卵巢巧克力囊肿疗效分析[J].中国医院统计,2016,23(2):111-112. |
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