实时超声弹性成像对变性子宫肌瘤的诊断价值

发布时间：2019-01-01 16:08

【摘要】：目的:探讨实时超声弹性成像在变性子宫肌瘤诊断中的价值.方法:选取拟手术治疗的子宫肌瘤患者81例(116个肌瘤病灶)作为研究对象.术前采用实时超声弹性成像技术对子宫肌瘤进行评分,评分标准为1~5分.术后经病理检查判断肌瘤有无变性.将B超弹性图像评分与肌瘤病理检查有无变性的结果进行对比,并运用受试者工作曲线(ROC)曲线判断弹性成像评分的价值.结果:病理检查报告未变性子宫肌瘤97个(83.62%),其中93个超声弹性图像评分为4分(95.9%);变性子宫肌瘤19个(16.37%),其中13个(68.4%)超声弹性图像评分为2~3分,两组评分比较差异具有显著性意义(P0.05).以超声弹性评分4分作为判断子宫肌瘤未变性的标准其ROC曲线下面积为0.82,敏感性95.9%,特异性68.4%,准确性91.4%,以超声弹性评分≤3分作为判断子宫肌瘤变性的标准,其敏感性68.4%,特异性95.9%,准确性91.4%.结论:实时超声弹性成像评分≤3分可以作为判断子宫肌瘤变性的初步标准.
[Abstract]:Objective: to evaluate the value of real-time ultrasound elastography in the diagnosis of degenerative uterine leiomyoma. Methods: 81 patients (116 leiomyomas) with hysteromyoma were selected. Preoperative evaluation of uterine leiomyoma was performed with real-time ultrasound elastography, and the score was 1 ~ 5 points. Pathological examination was used to determine the degeneration of myoma after operation. The results of B-ultrasound elastic imaging were compared with the results of pathological examination of leiomyoma, and the value of elastic imaging score was evaluated by using the (ROC) curve of the operating curve of the subjects. Results: there were 97 (83.62%) undenatured uterine leiomyomas in pathological examination, of which 93 (95.9%) were assessed by elastography. There were 19 degenerative uterine leiomyomas (16.37%), of which 13 (68.4%) had 2 ~ 3 scores of ultrasonic elastic images. There was significant difference between the two groups (P0.05). The area under the ROC curve was 0.82, the sensitivity was 95.9, the specificity was 68.4, the accuracy was 91.4. The sensitivity, specificity and accuracy of ultrasonic elastic score 鈮，

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