Ultrasound examination and analysis of uterine fibroids in primary hospitals
基层医院子宫肌瘤的超声检查分析

摘要

目的 本次研究探讨基层医院确诊子宫肌瘤患者实施超声诊断所展现的实施效果和实施价值。方法 回顾性分析2024年7月到2025年7月期间在本院经检查确诊的子宫肌瘤患者，共计75例，分别应用经腹部超声、经阴道超声及联合超声检查。然后观察分析患者的超声诊断准确率和误诊漏诊率。结果 经过数据分析，诊断准确率联合超声检查最高、经阴道超声其次、经腹部超声最低；误诊漏诊率经腹部超声最高、经阴道超声其次、联合超声最低。差异有统计学意义（P<0.05），说明存在对比意义。结论 对基层医院确诊子宫肌瘤患者实施联合超声检查，其诊断结果更加准确，其误诊漏诊情况发生更少，值得信赖，建议大幅度推广和提倡。

Abstract

Objective This study aimed to evaluate the diagnostic efficacy and clinical value of combined ultrasound examinations for confirmed uterine fibroids in primary care hospitals.
Methods A retrospective analysis was conducted on 75 confirmed uterine fibroid cases diagnosed through abdominal ultrasound, transvaginal ultrasound, and combined ultrasound examinations at our hospital between July 2024 and July 2025. The diagnostic accuracy and misdiagnosis/missed diagnosis rates were then analyzed.
Results Data analysis showed that combined ultrasound demonstrated the highest diagnostic accuracy, followed by transvaginal ultrasound, with abdominal ultrasound showing the lowest accuracy. Regarding misdiagnosis/missed diagnosis rates, abdominal ultrasound had the highest rate, followed by transvaginal ultrasound, with combined ultrasound showing the lowest rate. These differences were statistically significant (P<0.05), indicating clinically meaningful outcomes.
Conclusion   The combined ultrasound examination demonstrates superior diagnostic accuracy and reduced misdiagnosis/missed diagnosis rates for confirmed uterine fibroids in primary care hospitals, making it a reliable diagnostic tool worthy of widespread adoption and promotion.