罗燕 魏超 付文婷 熊小玲

    [摘要] 目的 探讨经阴道超声联合经腹超声在子宫肌瘤患者中的诊断价值及效能ROC曲线。 方法 选择2019年4月至2021年3月在南昌大学第四附属医院就诊临床疑诊为黏膜下子宫肌瘤的有性生活女性患者40例，根据检查顺序随机分为对照组和观察组，每组各20例。所有患者均具有完整的经病理检查结果(金标准)，对照组采用经腹超声检查，观察组联合采用经阴道超声检查，比较两组诊断价值，并分析其超声特点;绘制ROC曲线，分析经阴道超声联合经腹超声在子宫肌瘤患者中的诊断效能。 结果 40例疑似子宫肌瘤患者病理检查均最终确诊。观察组联合检查确诊19例，确诊率为95.00%;对照组经腹超声检查确诊16例，确诊率为80.00%，观察组确诊率低于对照组(P<0.05);观察组检出率高于对照组;ROC曲线结果表明：经阴道超声联合经腹部超声在子宫肌瘤患者中的诊断敏感度和特异度高于单一经阴道超声、经腹部超声(P<0.05)。 结论 经阴道超聲联合经腹超声应用子宫肌瘤患者中诊断符合率较高，两种超声联合可获得较高诊断敏感度和特异度，具有典型的超声影像特点，能为临床诊疗提供参考依据。

    [关键词] 经阴道超声;经腹超声;子宫肌瘤;诊断价值;ROC曲线

    [中图分类号] R730.4? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2022)13-0138-03

    [Abstract] Objective To investigate the diagnostic value and efficacy of transvaginal ultrasound combined with transabdominal ultrasound in patients with uterine fibroids by receiver operating characteristic (ROC) curve. Methods A total of 40 female patients with sexual intercourse who were clinically suspected of submucosal uterine fibroids attending our hospital from April 2019 to March 2021 were selected as study subjects. They were randomly divided into the control group and the observation group according to the time order of receiving examination ......