Objective To investigate the diagnostic value of transvaginal color doppler ultrasound and MRI in adenomyosis and the cause of misdiagnosis.Methods 56 cases of patients with adenomyosis proved by pathology and admitted in our hospital were selected for analysis. Their transvaginal sonography and examination data from MRI were summarized. The diagnostic value and the cause of misdiagnosis of transvaginal color doppler ultrasound and MRI were compared.Results The ratio of correct diagnosis of transvaginal color doppler ultrasound was about 69.6%,the misdiagnosis rate was about 16.1%,the ratio of correct diagnosis of MRI was about 87.5%,and the misdiagnosis rate was about 7.1%. By comparison, the diference between them was statisticaly significant(P<0.05).Conclusion The ratio of correct diagnosis of MRI was higher than that of transvaginal color doppler ultrasound,and its misdiagnosis rate was lower.%目的 分析研究阴道彩超与MRI对子宫腺肌症诊断价值与误诊原因.方法 选取我院收治的56例经病理证实为子宫腺肌症的患者,对患者术前的阴道彩超及MRI检查资料进行总结分析,以对比阴道彩超与MRI在子宫腺肌症诊断中的价值与误诊原因.结果 在阴道彩超与MRI两种检查方式中,阴道彩超的检查诊断准确率约为69.6%,误诊率约为16.1%;而MRI检查诊断准确率约为87.5%,误诊率约为7.1%,两者对比,差异有统计学意义(P<0.05).结论 MRI进行子宫腺肌症检查诊断的准确率高于阴道彩超,且误诊率低.
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