腹部、阴道超声及超声造影在子宫肌瘤及子宫腺肌病诊断鉴别中的应用

doi:10.3969/j.issn.1001-8131.2025.04.009

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Abstract Objective To study the application value of abdominal and vaginal ultrasound and contrast-enhanced ultrasound in the diagnosis of hysteromyoma and adenomyosis. Methods To observe 121 cases of suspected hysteromyoma.All patients underwent abdominal and vaginal ultrasound and contrast-enhanced ultrasound examinations,with pathological examination results as the gold standard.Compare the efficacy of three diagnostic methods for uterine fibroids and adenomyosis. Results 121 patients with suspected hysteromyoma were pathologically diagnosed as hysteromyoma in 101 cases and adenomyosis in 20 cases.Sensitivity and specificity of contrast-enhanced ultrasound in diagnosing hysteromyoma were and higher than those of abdominal ultrasound and vaginal ultrasound 98.02% and 95.00%,respectively.The sensitivity and specificity of diagnosing adenomyosis were and,respectively,which were higher than those of abdominal ultrasound and vaginal ultrasound.The onset time,peak time and peak intensity of hysteromyoma patients are higher than those of adenomyosis patients(P<0.05). Conclusion The diagnostic efficiency of contrast-enhanced ultrasound is better than that of vaginal ultrasound and abdominal ultrasound,which can significantly improve the accuracy of differential diagnosis between hysteromyoma and adenomyosis.

Key words： Contrast-enhanced ultrasound Abdominal ultrasound Vaginal ultrasound hysteromyoma Adenomyosis of uterus

Received: 22 April 2025

PACS:

R711.5

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	Articles by authors
	Du Junping
	Liang Yan
	Wang Wei
	Han Mengmeng

Cite this article:

Du Junping,Liang Yan,Wang Wei, et al. Application of Abdominal and Vaginal Ultrasound and Contrastenhanced Ultrasound in Diagnosis and Differentiation of Uterine Fibroids and Adenomyosis[J]. journal1, 2025, 45(4): 29-32.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.04.009 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I4/29

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