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[目的]探讨经阴道与经腹超声对子宫腺肌病的诊断价值。[方法]回顾性分析80例经手术后病理确诊的子宫腺肌病患者的临床资料,该组患者术前均经阴道超声和腹部超声检查,观察患者的子宫形态、大小,肌壁病灶位置、回声特点、血流分布状态并测量其动脉频谱的搏动指数(pulsatility index,PI)及阻力指数(resistive index,RI),将术后病理结果与超声检查结果进行对照分析。[结果]超声下典型表现为子宫普遍增大且多呈弥漫性,病灶区回声稍强,呈现粗颗粒状,血流呈稀疏星点状,经阴道和经腹超声诊断的符合率分别为87.5%、67.5%,两者差异有统计学意义,P﹤0.05。两者联合诊断符合率为91.3%。[结论]经阴道超声具有无创性和可重复性强的特点,诊断价值较高,能清晰显示病变的特点,其与经腹超声联合可减少漏诊率和误诊率。
[Objective] To investigate the diagnostic value of transvaginal and transabdominal sonography in adenomyosis. [Methods] The clinical data of 80 patients with pathologically confirmed adenomyosis were retrospectively analyzed. The patients were examined by transvaginal ultrasound and abdominal ultrasonography before operation to observe the morphology, size, location of the muscular wall lesions, Echocardiography, echogenicity, blood flow distribution, pulsatility index (PI) and resistive index (RI) of arterial spectrum were measured. The postoperative pathological results were compared with those of ultrasound examination. [Results] The uterus was generally diffuse in diffuse uterus. The echogenicity of the lesion area was slightly stronger with coarse granularity and the blood flow was sparse star point. The coincidence rates of transvaginal and transabdominal ultrasonography were 87.5 %, 67.5%, the difference was statistically significant, P <0.05. The combined diagnosis of the two was 91.3%. [Conclusion] Transvaginal ultrasonography has the characteristics of noninvasiveness and repeatability. It has high diagnostic value and can clearly show the characteristics of lesions. Combined with transabdominal ultrasonography can reduce the misdiagnosis rate and misdiagnosis rate.