【摘要】：目的:探討實(shí)時(shí)超聲彈性成像在變性子宮肌瘤診斷中的價(jià)值.方法:選取擬手術(shù)治療的子宮肌瘤患者81例(116個(gè)肌瘤病灶)作為研究對(duì)象.術(shù)前采用實(shí)時(shí)超聲彈性成像技術(shù)對(duì)子宮肌瘤進(jìn)行評(píng)分,評(píng)分標(biāo)準(zhǔn)為1~5分.術(shù)后經(jīng)病理檢查判斷肌瘤有無變性.將B超彈性圖像評(píng)分與肌瘤病理檢查有無變性的結(jié)果進(jìn)行對(duì)比,并運(yùn)用受試者工作曲線(ROC)曲線判斷彈性成像評(píng)分的價(jià)值.結(jié)果:病理檢查報(bào)告未變性子宮肌瘤97個(gè)(83.62%),其中93個(gè)超聲彈性圖像評(píng)分為4分(95.9%);變性子宮肌瘤19個(gè)(16.37%),其中13個(gè)(68.4%)超聲彈性圖像評(píng)分為2~3分,兩組評(píng)分比較差異具有顯著性意義(P0.05).以超聲彈性評(píng)分4分作為判斷子宮肌瘤未變性的標(biāo)準(zhǔn)其ROC曲線下面積為0.82,敏感性95.9%,特異性68.4%,準(zhǔn)確性91.4%,以超聲彈性評(píng)分≤3分作為判斷子宮肌瘤變性的標(biāo)準(zhǔn),其敏感性68.4%,特異性95.9%,準(zhǔn)確性91.4%.結(jié)論:實(shí)時(shí)超聲彈性成像評(píng)分≤3分可以作為判斷子宮肌瘤變性的初步標(biāo)準(zhǔn).
[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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