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目的研究经阴道彩超在诊断子宫腺肌症中的临床价值并分析其误诊漏诊原因。方法将在我院进行治疗的83例子宫腺肌症患者作为观察对象，分别给予TVCDU和MRI诊断，以病理检查结果为标准比较两组患者的诊断准确性，对不同诊断方法敏感度和准确率进行综合分析，研究诊断子宫腺肌症的方法。结果 TVCDU诊断的86例患者中，诊断符合人数为61例，占比73.49%，误诊人数为14例，占比16.86%，漏诊数为8例，占比9.63%；MRI诊断符合人数为80例，占比98.0%，误诊人数为2例，占比1.3%，漏诊人数为1例，占比0.6%，两种诊断方法在子宫体积、子宫壁厚度、血流和图像等影像学特征方面也存在显著差异，具有统计学意义，<0.05。结论 MRI相较于TVCDU在诊断子宫腺肌症中敏感度更高，特异性更强，值得推广借鉴。“,”Objective To investigate the clinical value and the misdiagnosis and missed diagnosis research of TVCDU in the treatment of adenomyosis. Methods 83 patients with adenomyosis were randomly selected in this study.Diagnosis of all the patients were confirmed by means of surgery and pathological examinations,.The color Doppler ultrasound group of 83 patients were diagnosed by transvaginal color doppler ultrasonography.The MRI group of 83 patients were diagnosed by magnetic resonance imaging.Compared the result of any one method with the combined results of pathology examination. Results After of treatment,observation results showed that, in 60 patients of TVCDU diagnosis,there were 61 confirmed cases,in the rate of 73.67%, there were 14 diagnostic errors cases,in the rate of 16.86%,there were 8 diagnostic errors cases,in the rate of 9.63%,in 83 patients of MRI diagnosis,there were 80 confirmed cases,in the rate of 98.0%,there were 2 diagnostic errors cases,in the rate of 1.3%,there were 1 diagnostic errors cases,in the rate of 0.6%,<0.05.Conclusion The TVCDU has better clinical value in the diagnosis of adenomyosis than MRI,which is worthy of promotion.