![]() Clinically, histological examination and imaging examination can be used for the diagnosis of adenomyosis, histological examination is the most accurate method, imaging examination is the most effective method for preoperative diagnosis, and the process is shown in Figure 1. ![]() Therefore, accurate diagnosis of the disease is of great significance for physicians to choose scientific treatment methods. There are many treatment methods for this disease, and it is necessary to choose an appropriate treatment method after comprehensive consideration of the patient’s age, course of disease, reproductive requirements, and clinical symptoms. Studies have shown that the disease is related to artificial abortion, cesarean section, and other surgeries. The main cause is the invasion of endometrial glands and stroma into the myometrium, resulting in localized or diffuse lesions. Adenomyosis is a common gynecological disease clinically, and it mostly occurred in multiparous women over 40 years old in the past, but in recent years, there is a tendency to be younger. In addition, there is a pseudocapsule composed of muscle fiber bundles and loose connective tissue. Uterine fibroids refer to a solid mass formed by the proliferation of smooth muscle cells, containing a small amount of fibrous connective tissue inside, with clear and smooth borders. According to the characteristics of ultrasound images, blood flow distribution, frequency spectrum, etc., it can provide a more accurate basis for clinical timely, provide the identification points of uterine fibroids, and provide help for clinicians to choose a treatment plan. Compared with abdominal examination, transvaginal color Doppler ultrasonography has obvious advantages in the diagnosis of adenomyosis. Normal endometrium and benign intrauterine lesions mainly showed no blood flow signal, while malignant lesions in the uterine cavity mostly showed changes in blood flow signal. After statistical analysis, there was a significant difference in the blood flow changes between benign and malignant endometrial echoes and abnormal echoes in the uterine cavity. The imaging features of vaginal three-dimensional color Doppler ultrasound in patients with adenomyosis are mainly enlarged uterus, slightly stronger echoes in the myometrium with enhanced echogenic spots, and short or short branch blood flow signals in the lesions. The coincidence rate, sensitivity, and specificity of three-dimensional color Doppler ultrasonography were higher than those of abdominal ultrasonography, while the misdiagnosis rate was lower than that of abdominal ultrasonography, and the differences were statistically significant (all ). The positive predictive value of three-dimensional color Doppler ultrasonography was higher than that of abdominal ultrasonography, and the difference was statistically significant ( ). A total of 150 patients with adenomyosis admitted to a hospital from January 2020 to December 2021 were selected, taking transvaginal three-dimensional color Doppler ultrasound and abdominal ultrasound for examination, all results were compared with patient pathology or surgical results, in order to compare the accuracy of the two inspection methods. In order to explore the value of color Doppler ultrasonography (TVCDS) in the diagnosis and differential diagnosis of adenomyosis.
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