• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Adenomyoma and leiomyoma: differential diagnosis with transvaginal sonography.
【24h】

Adenomyoma and leiomyoma: differential diagnosis with transvaginal sonography.

机译：腺肌瘤和平滑肌瘤：经阴道超声检查鉴别诊断。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE: The purpose of this study was to evaluate the capability of transvaginal sonography to differentiate adenomyomas from leiomyomas. METHODS: Two hundred six patients scheduled for surgery for symptomatic uterine masses underwent preoperative transvaginal sonography. Sonographic findings were compared with pathologic findings. Pathologic findings showed that 111 patients had leiomyomas, 48 had diffuse adenomyosis, 31 had adenomyomas, and 4 had leiomyosarcomas. RESULTS: For the diagnosis of adenomyoma, transvaginal sonography demonstrated a sensitivity of 82.0%, specificity of 88.3%, positive predictive value of 84.6%, and negative predictive value of 87.5% compared with a sensitivity of 95.1%, specificity of 82.0%, positive predictive value of 90.7%, and negative predictive value of 85.7% for the diagnosis of leiomyoma. Two sonographic characteristics, lesion margin (p = 0.0001) and lacunae (p = 0.0001), allowed the differentiation of adenomyoma from leiomyoma. CONCLUSIONS: Transvaginal sonography is an effective procedure for the preoperative differentiation of adenomyoma from leiomyoma. If the status of the lesion's margins and the presence or absence of hypoechoic lacunae were selected for analysis, leiomyomas could be correctly diagnosed with transvaginal sonography in 95% of cases.
机译：目的：本研究的目的是评估经阴道超声检查区分子宫肌瘤和平滑肌瘤的能力。方法：对计划进行症状性子宫肿块手术的266例患者进行了术前经阴道超声检查。将超声检查结果与病理检查结果进行比较。病理结果显示，有111例患有平滑肌瘤，48例患有弥漫性子宫腺肌病，31例患有子宫肌瘤，4例患有平滑肌肉瘤。结果：对于子宫腺肌瘤的诊断，经阴道超声检查显示敏感性为82.0％，特异性为88.3％，阳性预测值为84.6％，阴性预测值为87.5％，而敏感性为95.1％，特异性为82.0％，阳性对平滑肌瘤的诊断预测值为90.7％，阴性预测值为85.7％。病灶边缘（p = 0.0001）和腔隙（p = 0.0001）这两个超声特征使腺肌瘤和平滑肌瘤得以区分。结论：经阴道超声检查是区分子宫肌瘤和平滑肌瘤的有效方法。如果选择病灶边缘的状态和是否存在低回声腔来进行分析，则可以通过阴道超声检查正确诊断平滑肌瘤的比例为95％。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号