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目的探讨三维彩超在子宫肌瘤与子宫腺肌病鉴别诊断中的应用效果情况。方法 70例子宫肌瘤患者和80例子宫腺肌病患者,均经三维彩超检查,分别观察两种疾病患者周边血流检出率、内部血流检出率、阻力指数(RI)、诊断准确率情况。结果子宫肌瘤患者周边血流检出率(92.9%)高于子宫腺肌病患者(12.5%)(P<0.05),内部血流检出率和RI均低于子宫腺肌病患者(P<0.05),两种疾病诊断准确率(94.3%VS 95.0%)比较差异无统计学意义(P>0.05)。结论三维彩超诊断子宫肌瘤与子宫腺肌病均有较高的准确率,无创伤,对于子宫肌瘤与子宫腺肌病鉴别诊断有较高的价值,值得临床推广应用。
Objective To investigate the effect of three-dimensional ultrasound in the differential diagnosis of uterine fibroids and adenomyosis. Methods 70 patients with uterine fibroids and 80 patients with adenomyosis were examined by three-dimensional ultrasound to observe the peripheral blood flow detection rate, internal blood flow detection rate and resistance index (RI) Rate situation. Results The detection rate of peripheral blood flow in patients with uterine myoma (92.9%) was higher than that in patients with adenomyosis (12.5%) (P <0.05). The detection rate of internal blood flow and RI were lower in patients with adenomyosis <0.05). There was no significant difference in the diagnostic accuracy of the two diseases (94.3% vs 95.0%) (P> 0.05). Conclusion Three-dimensional ultrasound diagnosis of uterine fibroids and adenomyosis have a higher accuracy, non-invasive, for the differential diagnosis of uterine fibroids and adenomyosis have a higher value, worthy of clinical application.