The Diagnostic Value of Transabdominal Color Doppler Ultrasonography for Endometriosis

doi:10.7517/issn.1674-0475.200905

Abstract

Abstract: The aim of this research is to explore the value of transabdominal colour Doppler ultrasonography in the uterine artery blood flow characteristics, uterine characteristics and diagnostic value of endometriosis. There were 100 cases of endometriosis in our hospital who were selected as the case group, and 100 healthy women in the same period as the control group. The results showed that the uterine volume and endometrial thickness of the case group were greater than those of the control group (P<0.05). After cervix was swayed, EDV of the case group was lower than that of the control group (P<0.05), while RI was greater than that of the control group (P<0.05). From the ROC curve, it can be seen that the AUC value exceeds 0.65. EDV, RI, uterine volume and endometrial thickness are all high in sensitivity and specificity. The missed diagnosis rate and misdiagnosis rate were also within a controllable range. In a word, the uterine artery blood flow parameters and uterine morphological characteristics have certain clinical reference value for the diagnosis of endometriosis.

Key words: endometriosis, uterine artery, blood flow parameters, uterine size, endometrial thickness

ZHANG Jinhuan, WANG Wei, LIU Siyu, XU Xiuhua. The Diagnostic Value of Transabdominal Color Doppler Ultrasonography for Endometriosis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(2): 230-234.

References

[1] 肖赟赟, 杨清. 雌激素合成与子宫内膜异位症的研究进展[J]. 中国实用妇科与产科杂志, 2017, 33(8):862-865.
[2] 张丽蓉, 王丹, 吴荣锋, 等. 雌激素与子宫内膜异位症关系的研究进展[J]. 中国医药科学, 2019, 9(8):34-36.
[3] 石一复, 李娟清. 子宫内膜异位症的定义和发病有关理论[J]. 现代实用医学, 2007, 19(11):849, 863.
[4] 刘英杰, 曲银娥, 赵宇, 等. 子宫内膜异位症的病因学研究进展[J]. 华北理工大学学报(医学版), 2017, 19(4):333-336.
[5] 王春霞, 蒋荷娟, 刘海涛,等. 超声影像学检查技术在妇产科急腹症临床诊断中的应用探究[J]. 中国医疗器械信息, 2019, 25(8):162-163.
[6] 谢幸, 苟文丽. 《妇产科学》第八版[M].北京:人民卫生出版社,2013. 13-15.
[7] 陈颖, 魏丽惠, 崔恒. 子宫内膜异位症恶变的研究进展[J]. 中国妇产科临床杂志, 2016, 17(6):571-573.
[8] 邬素珍, 许焕英. 子宫内膜异位症复发的中西医防治进展[J]. 广州中医药大学学报, 2017, 34(5):790-792.
[9] 沙恩波, 王丽旻, 王慧, 等. 经阴道彩色多普勒超声对深部浸润型子宫内膜异位症的诊断[J]. 中国生育健康杂志, 2019, 30(2):135-138, 153.
[10] 陈晓敏, 林琪, 张蒂荣. 经阴道超声诊断深部浸润型子宫内膜异位症的应用价值[J]. 黑龙江中医药, 2018, 47(2):128.
[11] 任丽, 刘玥, 王凌翔, 等. 探讨经腹和经阴道超声检查对子宫内膜异位症的诊断价值[J]. 中国性科学, 2018, 27(12):102-104.
[12] Lane S L, Doyle A S, Bales E S, et al. Increased uterine artery blood flow in hypoxic murine pregnancy is not sufficient to prevent fetal growth restriction[J]. Biology of Reproduction, 2019,102(3):660-670.
[13] Gallagher C S, Mäkinen N, Harris H R, et al. Genome-wide association and epidemiological analyses reveal common genetic origins between uterine leiomyomata and endometriosis[J]. Nature Communications, 2019, 10(1):4857-4858.
[14] 李琴, 唐建华. 经阴道超声在子宫内膜病变中的研究进展[J]. 医学综述, 2015, 21(2):299-300.
[15] 卢磊, 刘继红, 代树花. 子宫动脉预测妊娠不良结局及并发症的进展[J]. 中国卫生标准管理, 2019, 10(12):59-62.
[16] Server E A, Edizer D T, Yiĝit Ö, et al. Relationship between vertebral artery blood flow in different head positions and vertigo[J].Acta Oto-Laryngologica,2017,138(1):1-5.
[17] Zhang K, Wang E, Li Y, et al. Role of low-molecular-weight heparin in altering uterine artery blood flow in recurrent spontaneous abortion:a prospective study[J]. The Journal of International Medical Research, 2020, 48(8):030006052094555-030006052094556.
[18] 邓晨晨, 陶峰, 陈红波. 子宫动脉多普勒超声预测子痫前期的研究现状[J]. 中华全科医学, 2020, 18(6):1002-1005.
[19] Knight A K, Hipp H S, Mckenzie L, et al. Association of mental health diagnoses and uterine endometrial thickness inwomen undergoing in-vitro fertilization[J]. Fertility and Sterility, 2019, 112(3):377378.
[20] brahim A, Meinhold-Heerlein I, Keckstein J, et al. Endometriosis:a concise practical guide to current diagnosis and treatment[J]. Journal of the Turkish German Gynecological Association, 2018, 19(3):173-175.
[21] Bontempo A C, Mikesell L. Patient perceptions of misdiagnosis of endometriosis:results from an online national survey[J]. Diagnosis, 2020, 7(2):97-106.