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腔内超声及超声弹性成像鉴别诊断子宫肌瘤与子宫腺肌瘤

发布时间:2018-06-26 10:11

  本文选题:子宫肌瘤 + 子宫腺肌瘤 ; 参考:《中国超声医学杂志》2017年11期


【摘要】:目的探讨超声弹性成像在子宫肌瘤及腺肌瘤鉴别诊断中的价值。方法选取经手术病理证实的子宫肌瘤组57例,子宫腺肌瘤组39例。应用弹性成像评分法及组织弥散定量技术对其进行评分及测量,探讨分析上述两种方法的应用价值。结果评分法诊断子宫肌瘤与腺肌瘤的诊断界值为3分(≥3分为子宫肌瘤),灵敏度为76.9%、特异度为71.9%、准确度为74%;组织弥散定量分析11个参数指标以蓝色区域面积(AREA%)的诊断为最佳诊断指标,诊断界值为45.02,灵敏度为79.5%、特异度为63.2%、准确度为70.0%。结论超声弹性成像评分法及组织弥散定量分析技术在子宫肌瘤与子宫腺肌瘤的鉴别诊断中有一定的价值,结合腔内超声检查,能够提高超声对二者的鉴别诊断价值。
[Abstract]:Objective to evaluate the value of elastography in differential diagnosis of uterine leiomyoma and adenomyoma. Methods 57 cases of hysteromyoma and 39 cases of adenomyoma were selected. The elastic imaging scoring method and tissue diffusion quantitative technique were used to evaluate and measure the above two methods, and the application value of the above two methods was discussed. Results the diagnostic boundary value of the scoring method for the diagnosis of uterine leiomyoma and adenomyoma was 3 (鈮,

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