金丽梅吉林省通化市第二人民医院功能科，吉林通化　134003

经腹与经阴道超声诊断子宫肌瘤的临床对比分析

金丽梅
吉林省通化市第二人民医院功能科，吉林通化134003

目的 对比分析经腹与经阴道超声诊断子宫肌瘤的临床效果。方法 方便选取2010—2015年该院收治的220例疑似子宫肌瘤患者作为研究对象，按照不同检查方法将其分为参照组（n=110，利用经腹部彩超进行诊断）和观察组（n=110，利用经阴道彩超进行诊断），对两组子宫肌瘤检出情况进行统计比较。结果观察组子宫肌瘤病例检出率99.1%与对照组88.2%进行比较，组间差异具有统计学意义（P＜0.05）；两组肌瘤总数检出率经统计比较，观察组97.8%明显高于参照组86.3%，差异有统计学意义（P＜0.05）。结论 子宫肌瘤采用经阴道彩色多普勒超声诊断，可显著提高检出率，具有积极的临床借鉴和推广意义。

子宫肌瘤；经腹超声；经阴道超声

［Abstract］Objective To compare the clinical effect analysis transabdominal and transvaginal ultrasound diagnosis of uterine fibroids.Methods Convenient selection Year 2010— 2015 in our hospital 220 cases of suspected patients with uterine fibroids as an object of study，according to different inspection methods will be divided into the reference group（n=110，the use of abdominal ultrasonography for diagnosis）and observation group（n=110，the use of transvaginal ultrasound for diagnosis），uterine fibroids detected two groups make statistical comparisons.Results The detection rate of cases of uterine fibroids 97.8%were compared with the control group 86.3%，a significant difference was statistically significant（P＜0.05）between the two groups；groups fibroids Total detection rate statistics，the observation group was significantly higher than the reference group（P＜0.05）.Conclusion Uterine fibroids using transvaginal color Doppler ultrasound diagnosis，can significantly improve the detection rate，with positive clinical significance of learning and promotion.

［Key words］Uterine fibroids；Transabdominal ultrasound；Transvaginal ultrasound

子宫肌瘤是临床妇科发生率较高的一种良性肿瘤，育龄期妇女的发生率最高。近年来，子宫肌瘤的发病率逐年上涨，严重威胁患者身心健康和生活质量。平滑肌细胞增生是导致子宫肌瘤的主要原因，故临床也将其称之为平滑肌瘤。另外，女性卵巢功能失调或者雌激素水平过高都是子宫肌瘤的诱发因素［1］。目前，临床主要借助B超对子宫肌瘤进行诊断和预后评价，但因为子宫肌瘤具体大小、部位及内部情况各有不同，且易于子宫腺肌症发生混淆，常规检查方法误诊率和漏诊率较高。随着医学检查手段的不断更新与发展，彩色多普勒超声已经在临床中得到广泛应用，其对子宫肌瘤具有较高的诊断价值［2］。……