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目的探讨经阴道超声检查(TVS)子宫肌瘤的诊断价值。方法分析140例经阴道超声检查子宫肌瘤的部位、数目及大小,比较术前TVS诊断结果、术中所见及术后病理结果的符合情况。结果本组140例中129例术前TVS诊断与术后病理结果相符,11例误诊。结论经阴道超声检查可为临床提供有价值的诊断依据,它不仅可明确肌瘤的部位、数目及大小,还可检出直径为0.5 cm以下的小肌瘤及其与子宫内膜的精确关系,临床医生可根据TVS提供的肌瘤确切位置直达病灶部位,避免盲目切开,节省手术时间,减少术中出血。
Objective To investigate the value of transvaginal ultrasonography (TVS) in the diagnosis of uterine fibroids. Methods The location, number and size of 140 cases of uterine fibroids were analyzed by transvaginal ultrasound. The diagnostic results of preoperative TVS, intraoperative findings and postoperative pathological findings were compared. Results The 129 cases of preoperative TVS diagnosis of 129 cases consistent with postoperative pathological findings, 11 cases were misdiagnosed. Conclusion Transvaginal ultrasonography can provide valuable diagnostic evidence for clinic. It can not only confirm the location, number and size of fibroids, but also detect the small fibroids with diameter less than 0.5 cm and its exact relationship with the endometrium , Clinicians can provide the exact location of myomas according to TVS direct lesions, avoid blind incision, save the operation time, reduce intraoperative bleeding.