摘要
目的分析子宫附件囊性占位病变检查中超声诊断的应用价值,以期进一步提升疾病诊断准确率,为疾病治疗提供参考。方法选取112例疑似子宫附件囊性占位病变患者,均予以超声诊断,比较超声诊断与病理诊断的诊断结果以及不同疾病类型的检测符合率。结果经病理诊断,112例疑似患者中阳性100例(89.29%)、阴性12例(10.71%);超声诊断准确率为94.64%(106/112),敏感度为96.00%(96/100),漏诊率为4.00%(4/100),特异度为83.33%(10/12),误诊率为16.67%(2/12)。超声诊断在子宫内膜异位囊肿、卵巢血肿、输卵管积液、附件炎、囊腺癌、输卵管囊肿蒂扭转等方面符合率与病理检查比较,差异无统计学意义(P>0.05)。结论疑似子宫附件囊性占位病变患者实施超声诊断,能够较为清晰地显示病变细节,诊断准确率高、特异性强,值得临床推广与应用。
Objective To analyze the application value of ultrasonography in the diagnosis of cystic space occupying lesions of uterine adnexa,in order to further improve the diagnosis accuracy and provide reference for disease treatment.Methods 112 patients with suspected cystic space occupying lesions of uterine adnexa were selected for ultrasonic diagnosis.The diagnostic results of ultrasonic diagnosis and pathological diagnosis and the detection coincidence rate of different disease types were compared.Results Among the 112 suspected patients,100(89.29%)were positive and 12(10.71%)were negative.The accuracy of ultrasound diagnosis was 94.64%(106/112),the sensitivity was 96.00%(96/100),the missed diagnosis rate was 4.00%(4/100),the specificity was 83.33%(10/12),and the misdiagnosis rate was 16.67%(2/12).There was no significant difference in the coincidence rate of pathological diagnosis in endometriosis cyst,ovarian hematoma,salpinx,adnexitis,cystadenocarcinoma,and torsion of ovulation cyst(P>0.05).Conclusion Ultrasound diagnosis for patients with suspected cystic space occupying lesions of uterine adnexa can clearly display the details of the lesions,and the diagnosis accuracy is high and the specificity is strong,which is worthy of clinical promotion and application.
作者
薛立群
Xue Liqun(Department of Ultrasound,Changzhou Mitsui Hospital,Changzhou 213000,China)
出处
《实用妇科内分泌电子杂志》
2023年第19期87-89,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
超声诊断
子宫附件囊性占位病变
病理诊断
Ultrasonic diagnosis
Cystic space occupying lesion of uterine adnexa,Pathological diagnosis