三維彩色多普勒超聲對子宮肌瘤與子宮腺肌癥的鑒別診斷作用

李姝

摘要 目的 探討三維彩色多普勒超聲對子宮腺肌癥與子宮肌瘤的診斷作用。方法 選取2017年12月—2019年12月于我院接受三維彩色多普勒超聲診斷患者作為研究對象，其中子宮腺肌癥（肌癥組）和子宮肌瘤（肌瘤組）患者各50例，比較兩組超聲診斷結果，并與病理診斷比較，評價三維彩色多普勒超聲對子宮腺肌癥和子宮肌瘤的鑒別診斷效果。結果 內部血流檢出率肌癥組為84.00%，高于肌瘤組的40.00%，周邊血流檢出率肌癥組為12.00%，低于肌瘤組的94.00%，差異具有統計學意義（P<0.05）;肌癥組動脈阻力指數（RI）2.93±0.85，搏動指數（PI）0.92±0.14，高于肌瘤組1.18±0.69，0.43±0.09;肌癥組血流量（BFV）水平為64.16±10.58，低于肌瘤組的105.29±12.97，差異具有統計學意義（P<0.05）;三維彩色多普勒超聲對子宮肌瘤和子宮腺肌癥的鑒別診斷靈敏度、特異度分別為93.00%和92.00%，并與病理診斷具有高度一致性（Kappa>0.75）。結論 在子宮腺肌癥與子宮肌瘤的鑒別診斷中，三維彩色多普勒超聲具有較高的真實性和與病理診斷的一致性，具有臨床應用意義。

關鍵詞 三維彩色多普勒超聲;子宮腺肌癥;子宮肌瘤;診斷;鑒別

中圖分類號? R737.33? ? 文獻標識碼? A? ? 文章編號? 1671-0223（2020）14-035-04

Abstract? Objective To explore the diagnostic effect of three-dimensional color Doppler ultrasound on adenomyosis and uterine fibroids.Methods A total of 100 patients who underwent 3D color Doppler ultrasound diagnosis in our hospital from December 2017 to December 2019 were selected as the research subjects.50 patients with adenomyosis （myosis group） and 50 patients with hysteromyoma （myoma group） were enrolled in this study.The ultrasonic diagnosis results of the two groups were compared and compared with the pathological diagnosis.The differential diagnosis effect of three-dimensional color Doppler ultrasound on adenomyosis and hysteromyoma was evaluated.Results The diagnostic coincidence rate and misdiagnosis rate of the two groups were not statistically significant （P>0.05）.The detection rate of internal blood flow in the myoma group was 84.00%， which was higher than 40.00% in the myoma group，and the detection rate of peripheral blood flow in the myoma group was 12.00%，which was lower than 94.00% in the myoma group. The difference was statistically significant （P<0.05）; The RI 2.93±0.85 and PI 0.92±0.14 of the myosis group were higher than those of the myoma group 1.18±0.69， 0.43±0.09; the BFV level of the myosis group was 64.16±10.58，which was lower than the myoma group 105.29±12.97，the difference was statistically significant （P<0.05）; The sensitivity and specificity of three-dimensional color Doppler ultrasound in the differential diagnosis of uterine fibroids and adenomyosis were 93.00% and 92.00%， respectively， and were highly consistent with pathological diagnosis （Kappa>0.75）.Conclusion In the diagnosis of adenomyosis and uterine fibroids， three-dimensional color Doppler ultrasound has a high diagnostic coincidence rate and can effectively differentiate the diagnosis， which is worthy of promotion.

綜合上述，在子宮腺肌癥與子宮肌瘤診斷中，三維彩色多普勒超聲的診斷符合率高，且能夠有效鑒別診斷，值得推廣。

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[2020-07-28收稿]