黄彦

摘要：目的：探究经腹联合经阴道超声诊断子宫阔韧带肌瘤的价值。方法：选取2016年1月-2017年3月收治42例子宫阔韧带肌瘤患者，随机分组，对照组单纯经腹超声诊断，观察组经腹联合经阴道超声诊断，对比诊断正确率及误诊率。结果：观察组诊断准确率（71.43%）、肌瘤同侧卵巢检出率（61.90%）高于对照组，误诊率（28.57%）低于对照组，P<0.05。结论：经腹联合经阴道超声诊断子宫阔韧带肌瘤的价值较高，值得我们在临床上进一步推广。

关键词：经腹超声;经腹联合经阴道超声;子宫阔韧带肌瘤;诊断价值

中图分类号：R445.1;R737.33文献标识码：BDOI：10？郾3969/j.issn.1001-0270.2020.01.18

Abstract： Objective： To investigate the value of transabdominal combined with transvaginal ultrasound in the diagnosis of uterine broad ligament fibroids. Methods： 42 patients with uterine broad ligament fibroids were enrolled from January 2016 to March 2017. The patients were random allocation， randomly divided into the control group. The patients in the control group were diagnosed by transabdominal ultrasound. The observation group was diagnosed by transabdominal combined with transvaginal ultrasound and contrast the diagnostic accuracy and misdiagnosis rate. Results： The diagnostic accuracy of the observation group（71.43%） and the rate of ipsilateral ovarian detection（61.90%） were higher than the control group. The misdiagnosis rate（28.57%） was lower than the control group， P<0.05. Conclusion： The value of transabdominal combined with transvaginal ultrasound in the diagnosis of uterine broad ligament fibroids is high， which is worthy of further promotion in clinical practice.

Key Words： Transabdominal Ultrasound; Transabdominal Combined with Transvaginal Ultrasound; Uterine Broad Ligament Fibroids; Diagnostic Value

子宫阔韧带肌瘤主要是指生长于阔韧带的平滑肌瘤，据临床统计其大约占子宫肌瘤的0.4-0.8%。由于子宫阔韧带肌瘤生长部位特殊，且在临床上缺乏特异性表现，因此采用常规经腹超声检查的效果并不理想，往往在肿瘤巨大引起占位症状时方能获得就诊，而且其术前定位、定性比较困难，很容易与卵巢肿瘤混淆，所以其会大幅度提升术前手术方案制定的复杂性，还会增加患者的心理负担[1]。基于此，本文结合笔者临床实践工作经验，主要对单纯经腹超声和经腹联合经阴道超声诊断子宫阔韧带肌瘤的应用价值展开探讨，以寻求提升子宫阔韧带肌瘤诊断正确率的检查方法，现报道如下。

1 资料与方法

1.1 临床资料

选取2016年1月-2017年3月我院收治的42例子宫阔韧带肌瘤患者作为研究对象，患者年龄在26-72岁，平均年龄（47.4±5.1）岁;就诊原因：常规超声检查发现占位28例，无意中发现腹腔、盆腔肿块进一步检查的8例，月经异常以及下腹部不适检查的4例，其它妇科检查发现的2例。……