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目的探讨经腹部超声(TAUS)与经阴道超声(TVUS)在子宫腺肌病(AM)中的诊断价值。方法将2012年1月至2015年6月期间妇科门诊并经临床怀疑为子宫腺肌病的120例患者作为研究对象,患者首先实施TAUS检查,检查完毕后再行TVUS检查,将两种超声诊断结果进行比较,并同时将诊断结果与术后病理检查结果比较,探讨TAUS诊断和TVUS诊断在子宫肌腺病中的灵敏度、特异度、准确度以及阴性预测值和阳性预测值。结果TAUS诊断灵敏度、准确度以及阴性预测值均显著低于TVUS诊断(P<0.05或P<0.01);TAUS诊断与TVUS诊断的特异度和阳性预测值比较无显著差异(P均>0.05)。结论 TVUS检查与TAUS检查比较可以显著提高子宫肌腺病诊断的灵敏度和准确性,是一种有效的诊断方式。
Objective To investigate the diagnostic value of transabdominal ultrasonography (TAUS) and transvaginal ultrasound (TVUS) in adenomyosis (AM). Methods A total of 120 patients with gynecological outpatients who were clinically suspected as adenomyosis from January 2012 to June 2015 were enrolled in this study. The patients were firstly subjected to TAUS examination and then to TVUS examination after the examination. Two kinds of ultrasonography The results were compared with the results of postoperative pathological examination and the results were compared to explore the TAUS diagnosis and TVUS diagnosis of adenomyosis in the sensitivity, specificity, accuracy and negative predictive value and positive predictive value. Results The sensitivity, accuracy and negative predictive value of TAUS were significantly lower than those of TVUS (P <0.05 or P <0.01). There was no significant difference between the specificity and positive predictive value of TAUS diagnosis and TVUS diagnosis (all P> 0.05). Conclusion Compared with TAUS, TVUS examination can significantly improve the sensitivity and accuracy of diagnosis of uterine muscle adenosis, which is an effective diagnostic method.