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目的对应用经阴道超声和核磁共振两种技术对患有深部子宫内膜异位症疾病患者的病情实施诊断的meta数据进行研究分析。方法 120例深部子宫内膜异位症疾病的患者,其中在手术前采用经阴道超声技术检查的60例患者作为研究组,手术前采用核磁共振技术检查的60例患者作为对照组。对比研究两组研究对象诊断与术后证实结果的符合率、异质性检验结果、合并效应量等。结果研究组研究对象的病情检查与手术证实结果的符合率与对照组基本相同,组间比较差异无统计学意义(P>0.05);两种检查技术的异质性检验的Q=11.46,P=0.0007;合并效应量的RR=1.04,95%可信度区间在0.76~1.43,Z=0.29。结论应用经阴道超声和核磁共振两种技术对患有深部子宫内膜异位症疾病患者的病情实施诊断在准确率方面没有差异,但在实际应用过程中,考虑到核磁共振技术的费用相对较高,通常建议首先进行经阴道超声检查,如果有必要再进行核磁共振检查。
Objective To analyze the meta-data of the diagnosis of patients with deep endometriosis using transvaginal ultrasound and nuclear magnetic resonance. Methods A total of 120 patients with deep endometriosis were included in this study. 60 patients who underwent transvaginal ultrasonography before operation were selected as the study group and 60 patients who underwent MRI before operation as the control group. Comparing the two groups of subjects diagnosed with postoperative confirmation of the results of compliance, heterogeneity test results, the amount of combined effects. Results The coincidence rate between the study group and the control group was basically the same as that of the control group. There was no significant difference between the two groups (P> 0.05). The heterogeneity of the two methods was Q = 11.46, P = 0.0007; RR of combined effect was 1.04; 95% confidence interval ranged from 0.76 to 1.43 and Z = 0.29. Conclusion The application of transvaginal sonography and nuclear magnetic resonance in diagnosis of patients with deep endometriosis has no difference in accuracy, but in practical application, taking into account the relative cost of nuclear magnetic resonance technique High, usually recommended first transvaginal ultrasound, if necessary, then the MRI.