妇儿健康导刊2024，Vol.3Issue(22)：82-85,4.
经阴道二维与三维超声评估子宫内膜-肌层结合带对子宫腺肌病的诊断价值分析
Diagnostic value analysis of two-dimensional vaginal ultrasonography and three-dimensional vaginal ultrasonography in evaluating endometrial-myometrial junctional zone for adenomyosis
摘要
Abstract
Objective To compare the diagnostic value of two-dimensional vaginal ultrasonography(2D-TVS)and three-dimensional vaginal ultrasonography(3D-TVS)in assessing the endometrial-myometrial junctional zone for adenomyosis(AM).Methods From January to December 2023,60 patients with suspected adenomyosis in People's Hospital of Yingde City Guangdong Province were selected and given 3D-TVS and 2D-TVS.The diagnostic results of adenomyosis were compared by different examination methods,and the diagnostic results of different types of adenomyosis were analyzed by abnormal quantitative score of the endometrial-myometrial junctional zone.Results There were 40 patients with adenomyosis diagnosed by 3D-TVS and 37 patients with AM diagnosed by 2D-TVS.The sensitivity of the two methods for the diagnosis of adenomyosis was 92.31%and 76.92%,and the specificity was 80.95%and 66.67%,respectively,with statistically significant differences(P<0.05).The receiver operator characteristic curve showed that the area under the curve(AUC)for diagnosing AM by 3D-TVS was 0.866,and that by 2D-TVS was 0.718,and the difference between the two methods was statistically significant(P<0.05).The Kappa value for the diagnosis of adenomyosis by 3D-TVS was 0.741,while Kappa value for the diagnosis of adenomyosis by 2D-TVS was only 0.427.The sensitivity and specificity of abnormal quantitative score of endometrial-myometrial junctional zone(>2 points)for different types of adenomyosis were 91.67%and 93.33%.The AUC was 0.925(95%CI:0.827-1.000),and the Kappa value was 0.840.Conclusion Compared with 2D-TVS,3D-TVS can improve the diagnostic efficiency of AM,and the quantitative score of endometrial-myometrial junctional zone abnormality has positive guiding significance in the diagnosis of AM and can be widely applied.关键词
阴道三维超声/阴道二维超声/子宫内膜-肌层结合带/子宫腺肌病Key words
Three-dimensional vaginal ultrasonography/Two-dimensional vaginal ultrasonography/Endometrial-myometrial junctional zone/Adenomyosis分类
医药卫生引用本文复制引用
巫雁丹,吴丽君,梁秋芳..经阴道二维与三维超声评估子宫内膜-肌层结合带对子宫腺肌病的诊断价值分析[J].妇儿健康导刊,2024,3(22):82-85,4.基金项目
广东省清远市科技计划项目(221109127680928). （221109127680928）
