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目的对比子宫肌瘤患者经腹超声与经阴道超声检查结果,探讨合适的检查方法。方法子宫肌瘤354例中度充盈膀胱,行常规腹部探查后再阴道探头表面涂上耦合剂覆以避孕套后放入患者阴道内进行阴道超声。观察子宫的大小、形态及内部回声,肌瘤发生的部位、大小、数目、边界,内部回声等情况。结果 354例子宫肌瘤患者经阴道超声诊断子宫肌瘤340例(96.04%),发现530个肌瘤(96.36%);经腹超声诊断肌瘤310例(87.57%),发现470个肌瘤(87.09%),两组检查方法比较,诊断子宫肌瘤例数、肌瘤个数差异均有统计学意义(P<0.05),经阴道超声检查诊断子宫肌瘤例数、肌瘤个数准确性分别提高了8.47%、9.27%。结论经阴道超声在诊断子宫肌瘤方面,具有更准确的应用价值和诊断优势,是诊断子宫肌瘤良好的技术手段。
Objective To compare the results of transabdominal ultrasonography and transvaginal ultrasonography in patients with uterine fibroids and to explore appropriate methods of examination. Methods 354 patients with uterine fibroids were moderately filled with bladder. After routine abdominal exploration, the vaginal probe was coated with a coupling agent and condoms and placed in the vagina of the patient for vaginal ultrasound. Observation of the size of the uterus, morphology and internal echo, fibroid site, size, number, boundary, internal echo and so on. Results 354 cases of uterine myoma (96.04%) were diagnosed by transvaginal ultrasonography in 530 cases of myoma of uterus, 530 cases of fibroids (96.36%) were diagnosed by ultrasound and 310 cases of fibroids were diagnosed by ultrasonography (87.57% 87.09%). There were significant differences in the number of myoma and uterine fibroids between the two groups (P <0.05). The number of uterine fibroids and the accuracy of fibroids were diagnosed by transvaginal ultrasonography Respectively, increased by 8.47%, 9.27%. Conclusion Transvaginal ultrasound in the diagnosis of uterine fibroids, with more accurate value and diagnostic advantages, is a good technique for the diagnosis of uterine fibroids.