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目的探讨经阴道超声检查(TVS)对子宫肌瘤术式选择的临床价值。方法分析96例经阴道超声子宫肌瘤结果,并将其与术前经腹超声结果进行对照,参照术中所见及术后病理结果,重点分析经阴道超声对子宫肌瘤术式选择的临床价值。结果本组96例中87例TVS诊断与术后病理结果相符,漏诊4例,误诊5例,诊断符合率为90.6%,TVS较经腹超声对小于0.5cm的检出率明显提高,二者比较差异具有统计学意义(P<0.05)。因为TVS的应用而改变手术方式者38例,占39.5%。结论 TVS不仅可明确肌瘤的部位、数目及大小,且对直径小于0.5cm以下的小肌瘤检出率较经腹超声明显提高,从而为临床医师对子宫肌瘤手术术式的选择提供更为科学客观的依据。
Objective To investigate the clinical value of transvaginal ultrasonography (TVS) in the surgical choice of uterine fibroids. Methods 96 cases of transvaginal ultrasound uterine fibroids results, and its preoperative transabdominal ultrasound results were compared with reference to the intraoperative findings and postoperative pathological findings, focusing on transvaginal ultrasound of the uterine fibroids surgical selection of clinical value. Results 87 cases of this group of 96 cases of TVS diagnosis and postoperative pathological findings, misdiagnosis in 4 cases, misdiagnosed 5 cases, the diagnostic coincidence rate was 90.6%, TVS compared with abdominal ultrasound less than 0.5cm detection rate was significantly increased, both The difference was statistically significant (P <0.05). Because of the application of TVS and change the way of operation in 38 cases, accounting for 39.5%. Conclusion TVS can not only clarify the location, number and size of fibroids, but also detect the rate of small fibroids less than 0.5cm in diameter compared with transabdominal ultrasonography. It can provide clinicians more choice for surgical selection of uterine fibroids Scientific and objective basis.