Analysis of the diagnostic value of transabdominal ultrasound combined with transvaginal ultrasound for ovarian cystadenoma
经腹部超声联合经阴道超声对卵巢囊腺瘤的诊断价值分析

摘要

目的 探讨经腹部超声（TAS）联合经阴道超声（TVS）在卵巢囊腺瘤诊断中的应用价值，旨在提高卵巢囊腺瘤的诊断准确性。方法 于2024年1月-2024年12月，选取本院收治的80例疑似卵巢囊腺瘤的患者，所有患者均接受TAS和TVS检查，以病理检查结果为准，分析单一TAS、TVS检查和联合检查的诊断效能，以评估不同检查策略的效果。结果 80例患者经病理学检查确诊为卵巢囊腺瘤共55例。TAS检查的准确度为93.75%、灵敏度为94.40%、特异度为92.59%；TVS检查的准确度为95.00%、灵敏度为94.44%、特异度为96.15%；联合检查的准确度为97.50%、灵敏度为98.15%、特异度为96.15%。可见，TVS检查的诊断效能优于TAS检查，而联合检查的诊断效能则优于单一检查，三种检查方式分别于病理学检查结果比较差异无统计学意义（P＞0.05）。结论 在卵巢囊腺瘤诊断中，单一的TAS与TVS检查的准确度、灵敏度、特异度均低于联合检查的应用效果，临床应根据患者情况，合理应用联合检查策略，以提高诊断准确性。

Abstract

Objective To explore the application value of transabdominal ultrasound (TAS) combined with transvaginal ultrasound (TVS) in the diagnosis of ovarian cystadenoma, aiming to improve the diagnostic accuracy of ovarian cystadenoma.
Methods From January 2024 to December 2024, 80 patients suspected of ovarian cystadenoma admitted to our hospital were selected. All patients underwent TAS and TVS examinations, and the diagnostic efficacy of single TAS, TVS examination, and combined examination was analyzed based on the pathological examination results to evaluate the effectiveness of different examination strategies.
Results A total of 55 out of 80 patients were diagnosed with ovarian cystadenoma through pathological examination. The accuracy, sensitivity, and specificity of TAS examination were 93.75%, 94.40%, and 92.59%, respectively; The accuracy, sensitivity, and specificity of TVS examination were 95.00%, 94.44%, and 96.15%, respectively; The accuracy, sensitivity, and specificity of the joint examination were 97.50%, 98.15%, and 96.15%, respectively. It can be seen that the diagnostic efficacy of TVS examination is superior to TAS examination, while the diagnostic efficacy of combined examination is superior to single examination. There is no statistically significant difference in the results of pathological examination among the three examination methods (P>0.05).
Conclusion   In the diagnosis of ovarian cystadenoma, the accuracy, sensitivity, and specificity of single TAS and TVS examinations are lower than those of combined examinations. Clinically, the combined examination strategy should be reasonably applied according to the patient's condition to improve diagnostic accuracy.