经腹及经阴道彩超诊断子宫肌瘤的临床价值分析.docVIP

精品论文 参考文献 经腹及经阴道彩超诊断子宫肌瘤的临床价值分析 涂佳 　　（洪雅县中医医院 四川 眉山 620360） 　　【摘要】目的：探讨经腹及经阴道彩超诊断子宫肌瘤的临床治疗效果。方法：选取自2013年3月至 2015年12月在我院就诊的子宫肌瘤患者50例，对患者进行腹部彩超进行诊断，之后进行阴道彩超检查。结果:研究中50例患者经手术病理诊断均确诊为子宫肌瘤患者，经腹部彩超检查诊断，子宫肌瘤患者36例，诊断符合率72%，发现子宫肌瘤45个，其中，肌壁间肌瘤21个，浆膜下肌瘤13个，黏膜下肌瘤11个；经阴道彩超检查诊断，子宫肌瘤患者47例，诊断符合率为94%，发现子宫肌瘤64个，其中，肌壁间肌瘤33个，浆膜下肌瘤19个，黏膜下肌瘤12个，阴道彩超的诊断准确度明显高于腹部彩超。结论：阴道彩超比腹部彩超敏感度高，经阴道彩超检查可以直接检查患者盆腔脏器，能够更好地分辨病灶，成像清晰，准确性高，在临床上进一步推广。 　　【关键词】经腹彩超；经阴道彩超；子宫肌瘤 　　【中图分类号】R730.4 【文献标识码】A 【文章编号】2095-1752（2016）22-0066-02 　　Clinical value of abdominal and transvaginal color Doppler ultrasound in diagnosis of uterine fibroids Tu Jia, 　　Hospital of traditional Chinese medicine of Hongya County , Sichuan Province, Meishan 620360, China 　　【Abstract】Objective To study the abdominal and transvaginal colour to exceed diagnose uterine fibroids clinical therapeutic effect. Methods From March 2013 to December 2013 in our hospital in 50 patients with uterine fibroids, to diagnosis of patients with abdominal colour to exceed, after the vagina colour to exceed examination. Results The study of 50 patients with pathologic diagnosis were confirmed by surgery for patients with uterine fibroids, via abdominal colour to exceed diagnose, 36 patients with uterine fibroids, diagnosis coincidence rate 72%, found uterine fibroids 45, among them, 21, muscle intramural myoma subserosal fibroids 13, 11 of the submucous myoma; Transvaginal colour to exceed examination diagnosis of 47 patients with uterine fibroids, diagnostic coincidence rate was 94%, the found uterine fibroids in 64, among them, 33 muscle intramural myoma, subserosal fibroids 19, 12 submucous myoma, diagnostic accuracy is significantly higher than vaginal colour to exceed the abdomen colour to exceed. Conclusion Vaginal exceeds than abdominal colour to exceed, high sensitivity, pelvic cavity viscera can be directly check were examined by transvaginal colour to exceed, better able to identify lesions, image is clear, hi