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目的探讨经腹与经阴道超声在子宫腺肌病诊断中的应用价值。方法选取100例子宫腺肌病患者为研究对象,根据诊断方法将所有患者分为观察组(经阴道超声检查)和对照组(经腹部超声检查),每组50例。以术后病理结果作为金标准,比较两种检测方法的诊断符合率及子宫动脉血流指标。结果对照组诊断符合率为78.00%(39/50),低于观察组的94.00%(47/50),差异有统计学意义(P<0.05);两组动脉阻力指数、血流量、动脉搏动指数比较,差异有统计学意义(P<0.05)。结论经腹部超声检查与经阴道超声检查均可用于子宫腺肌病中,与经腹部超声检查比较,阴道超声检查诊断符合率更高,可准确地显示患者子宫动脉血流指数,临床应用价值更高。
Objective To investigate the value of transabdominal and transvaginal sonography in the diagnosis of adenomyosis. Methods A total of 100 patients with adenomyosis were enrolled in this study. All patients were divided into observation group (transvaginal sonography) and control group (transabdominal ultrasound) according to the diagnostic method, 50 cases in each group. The postoperative pathological results as the gold standard, comparing the diagnostic accuracy of the two detection methods and uterine artery blood flow indicators. Results The diagnostic accuracy of the control group was 78.00% (39/50), which was lower than that of the observation group (94.00%, 47/50) (P <0.05). The arterial resistance index, blood flow, arterial pulse Index, the difference was statistically significant (P <0.05). Conclusion Transabdominal ultrasonography and transvaginal ultrasonography can be used in adenomyosis. Compared with the transabdominal ultrasonography, the diagnosis of vaginal ultrasonography is more accurate and can accurately show the uterine arterial blood flow index, and its clinical value is more high.