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目的:探讨经腹超声和经阴道超声诊断盆腔子宫内膜异位的临床价值。方法:选择2015年1月至2015年12月在我院拟行手术治疗的疑似子宫内膜异位症患者98例进行研究,所有患者均接受手术治疗,术前接受经腹和经阴道超声检查,对患者的超声检查结果与病理结果进行比较。结果:经阴道超声检查诊断子宫内膜症的敏感性、特异性、准确性和AUC均高于对照组,经Z检验,经阴道超声的AUC高于经腹超声检查,差异有统计学意义。结论:和经腹超声相比,经阴道超声具有更高的临床诊断价值。
Objective: To investigate the clinical value of transabdominal and transvaginal sonography in the diagnosis of pelvic endometriosis. Methods: A total of 98 patients with suspected endometriosis who were surgically treated in our hospital from January 2015 to December 2015 were enrolled. All patients underwent surgery and received transabdominal and transvaginal ultrasonography , The patient’s ultrasound examination results and pathological results were compared. Results: The sensitivity, specificity, accuracy and AUC of transvaginal sonography in diagnosis of endometriosis were higher than those in control group. The AUC of transvaginal ultrasound was higher than that of transabdominal sonography by Z-test, the difference was statistically significant. Conclusion: Compared with transabdominal ultrasound, transvaginal ultrasound has a higher clinical diagnostic value.