Department of Sonography, Jinan People's Hospital, Jinan, Shandong 271100, China.
Biomed Res Int. 2022 Jul 7;2022:9599571. doi: 10.1155/2022/9599571. eCollection 2022.
To investigate the value of transabdominal combined transvaginal color Doppler ultrasonography in the diagnosis of uterine adenomyoma.
A total of 80 patients with suspected uterine adenomyoma in our hospital from January 2019 to December 2021 were selected as the study subjects. All of them were examined by transabdominal color Doppler ultrasound (TA-CDUS) and transvaginal color Doppler ultrasound (TV-CDUS), and the postoperative pathological examination results were taken as the gold standard to analyze the diagnostic efficacy of different examination methods for uterine adenomyoma.
By postoperative pathological biopsy, 46 cases (57.50%) were diagnosed as positive and 34 cases (42.50%) were diagnosed as negative, including 29 cases of uterine adenomyoma and 5 other cases. The sensitivity, accuracy, and negative predictive value of TA-CDUS combined with TV-CDUS in the diagnosis of adenomyoma were higher than those of TA-CDUS ( < 0.05), and the Kappa value between TA-CDUS and pathological diagnosis was 0.923, which was higher than the 0.615 between TV-CDUS and pathological diagnosis. TA-CDUS combined with TV-CDUS showed that there were significant differences in the distribution of Adier blood flow grades between patients with uterine adenomyoma and uterine fibroids ( < 0.05), and the Adier blood flow grades of patients with uterine adenomyoma were mainly grade 0 and grade I; and the resistance index (RI), peak systolic velocity (Vs), and pulsatile index (PI) in patients with uterine adenomyoma were higher than those in patients with uterine fibroids ( < 0.05).
Compared with TA-CDUS, TA-CDUS combined with TV-CDUS is more sensitive and accurate in the diagnosis of uterine adenomyoma and has a good consistency with pathological diagnosis results. Attention should be paid to the blood flow parameter values in the differential diagnosis of uterine fibroids.
探讨经腹部联合经阴道彩色多普勒超声在子宫腺肌瘤诊断中的价值。
选取我院 2019 年 1 月至 2021 年 12 月间收治的 80 例疑似子宫腺肌瘤患者作为研究对象。所有患者均行经腹部彩色多普勒超声（TA-CDUS）和经阴道彩色多普勒超声（TV-CDUS）检查，以术后病理检查结果为金标准，分析不同检查方法对子宫腺肌瘤的诊断效能。
术后病理活检结果显示，46 例（57.50%）为阳性，34 例（42.50%）为阴性，其中子宫腺肌瘤 29 例，其他 5 例。TA-CDUS 联合 TV-CDUS 对腺肌瘤的诊断敏感性、准确性和阴性预测值均高于 TA-CDUS（<0.05），TA-CDUS 与病理诊断的 Kappa 值为 0.923，高于 TV-CDUS 与病理诊断的 0.615。TA-CDUS 联合 TV-CDUS 显示，子宫腺肌瘤患者的 Adier 血流分级分布与子宫肌瘤患者比较，差异有统计学意义（<0.05），子宫腺肌瘤患者的 Adier 血流分级主要为 0 级和 1 级；子宫腺肌瘤患者的阻力指数（RI）、收缩期峰值流速（Vs）和搏动指数（PI）均高于子宫肌瘤患者（<0.05）。
与 TA-CDUS 相比，TA-CDUS 联合 TV-CDUS 诊断子宫腺肌瘤的敏感性和准确性更高，与病理诊断结果具有良好的一致性。在鉴别诊断子宫肌瘤时应注意血流参数值。
