Color Doppler ultrasound and energy imaging in combination with sonohysterography in the differential diagnosis of adenomyosis and hysteromyoma

Objective:To investigate the clinical values of the color Doppler ultrasound ,energy imaging and sonohysterography in the differential diagnosis of adenomyosis and hysteromyoma.Methods:32 cases of adenomyosis and 38 cases of hysteromyoma were proved by surgical and pathological examination ,but before operation all of patients checked with color Doppler ultrasound and energy imaging,besides,sonohysterography with 3% hydrogen peroxide has been used.Results:Color Doppler Sonographic examination results show:27 cases had benn diagnosed before operation among 32 cases of adenomyosis,meanwhile,38 cases of hysteromyoma,27 cases had been diagnosed ,its diagnostic accuracy of adenomyosis is 87.14%. Sonohysterography with 3% hydrogen peroxide examination results show:25 cases showed positive among 32 cases of adenomyosis. None showed positive among 38 cases of hysteromyoma,its diagnostic specificity of adenomyosis is 100%,accuracy is 90.00%.Combined two of them to diagnose adenomyosis,the result reveals that positive predictive value is 100%,negative predictive value is 79.17% and accuracy rate is 85.71%. Conclusion:Color Doppler ultrasound,energy imaging and sonohysterography are helpful for the diagnosis of hysteromyoma,and it can improve diagnostic accuracy of adenomyosis by combining them.