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目的:探讨经腹部超声诊断子宫肌瘤的临床价值。方法:选择2013年1月~2016年1月收治的子宫肌瘤患者作为研究对象,共50例,所有患者采用经腹部超声检查确诊,并且在术后进行病理检查证实。观察经腹部超声检查子宫肌瘤的声像图特征,并且以病理诊断结果为标准,分析经腹部超声检查子宫肌瘤的诊断符合率、误诊率、漏诊率。结果:1回声特征:低回声共30例(60%),中等回声共10例(20%),高回声共5例(10%),混合回声共5例(10%),与低回声类型的病变组织对比,其他三种类型的占比明显更低,数据比较差异具有统计学意义,P<0.05。2子宫改变:子宫增大不均匀,形态不规则。3周边组织可见血流呈现出环状或者半环状的信号,周边组织的血流高于瘤体内部的血流RI,其阻力指数为0.7±0.1。4经腹部超声检查子宫肌瘤的诊断符合率为86%,误诊率为10%,漏诊率为4%。一共有43例病例诊断正确,其中包括肌壁间肌瘤27例,粘膜下肌瘤6例,浆膜下肌瘤4例,宫颈肌瘤5例,阔韧带肌瘤1例。结论:经腹部超声检查子宫肌瘤具有较高的准确度,但是也存在一定的漏诊和误诊情况,建议结合其他的检查方法进行进一步检查,有利于提高检查的可靠性和准确性。
Objective: To investigate the clinical value of transabdominal ultrasound in the diagnosis of uterine fibroids. Methods: Fifty patients with uterine fibroids were selected from January 2013 to January 2016. All patients were confirmed by transabdominal ultrasonography and confirmed by pathology after operation. Observe the ultrasonographic features of uterine fibroids by abdominal ultrasonography, and pathological diagnosis as the standard analysis of the diagnosis of uterine fibroids by abdominal ultrasound consistent rate, misdiagnosis rate, missed diagnosis rate. Results: 1 Echo features: 30 cases (60%) had low echoes, 10 cases (20%) had moderate echoes, 5 cases (10% Of the lesions compared to the other three types of accounting was significantly lower, the data were statistically significant differences, P <0.05.2 uterine changes: uneven uterine increase, irregular shape. 3 peripheral tissue shows the blood flow showed a ring or semi-circular signal, peripheral blood flow higher than the internal tumor blood flow RI, the resistance index of 0.7 ± 0.1.4 by abdominal ultrasonography diagnosis of uterine fibroids The coincidence rate was 86%, misdiagnosis rate was 10% and the rate of misdiagnosis was 4%. A total of 43 cases were diagnosed correctly, including 27 cases of intramural myoma, 6 cases of submucous myoma, 4 cases of subserosal fibroids, 5 cases of cervical myoma and 1 case of broad ligament myoma. Conclusion: Ultrasonography of uterine fibroids by abdominal examination has high accuracy, but there are some misdiagnosis and misdiagnosis. It is suggested that further examination combined with other examination methods is helpful to improve the reliability and accuracy of the examination.