经阴道联合腹部彩色多普勒超声对子宫腺肌症分型诊断的价值

Objective To analyze the clinical value of the combination of transvaginal and transabdominal color doppler ultrasound in the diagnosis of adenomyosis(ADS) classification. Methods 76 suspected ADS patients who visited our hospital between February 2023 and February 2025 were selected for transvaginal and transabdominal color doppler ultrasound and histopathological examination. The histopathological results were used as the gold standard to compared the following indicators of transvaginal and transabdominal color doppler ultrasound:(1) diagnostic results,(2) diagnostic efficacy,(3) classification conformity rate. Results Among the 76 suspected ADS patients, 68 cases had clear surgical pathology, including 42 cases of diffuse type and 26 cases of localized type. Transvaginal and transabdominal color doppler ultrasound diagnoses confirmed 61 cases and 57 cases respectively, and transvaginal combined with transabdominal color doppler ultrasound confirmed 67 cases. The sensitivity(98.53%) and accuracy(98.68%) of transvaginal combined with transabdominal color doppler ultrasound in diagnosing ADS, as well as the coincidence rates of diffuse type(97.62%) and localized type(96.15%) classification, were all higher than those of transvaginal(88.24%, 88.16% and 83.33%, 73.08%) and transabdominal(80.88%, 80.26% and 64.29%, 46.15%) color doppler ultrasound(P<0.05), and transvaginal color doppler ultrasound was higher than transabdominal color doppler ultrasound(P<0.05). Conclusion In ADS classification diagnosis, transvaginal combined with transabdominal color doppler ultrasound has higher diagnostic sensitivity, accuracy and classification coincidence rate compared with single transvaginal or transabdominal color doppler ultrasound.