腔內(nèi)超聲及超聲彈性成像鑒別診斷子宮肌瘤與子宮腺肌瘤
發(fā)布時間:2018-06-26 10:11
本文選題:子宮肌瘤 + 子宮腺肌瘤。 參考:《中國超聲醫(yī)學(xué)雜志》2017年11期
【摘要】:目的探討超聲彈性成像在子宮肌瘤及腺肌瘤鑒別診斷中的價值。方法選取經(jīng)手術(shù)病理證實(shí)的子宮肌瘤組57例,子宮腺肌瘤組39例。應(yīng)用彈性成像評分法及組織彌散定量技術(shù)對其進(jìn)行評分及測量,探討分析上述兩種方法的應(yīng)用價值。結(jié)果評分法診斷子宮肌瘤與腺肌瘤的診斷界值為3分(≥3分為子宮肌瘤),靈敏度為76.9%、特異度為71.9%、準(zhǔn)確度為74%;組織彌散定量分析11個參數(shù)指標(biāo)以藍(lán)色區(qū)域面積(AREA%)的診斷為最佳診斷指標(biāo),診斷界值為45.02,靈敏度為79.5%、特異度為63.2%、準(zhǔn)確度為70.0%。結(jié)論超聲彈性成像評分法及組織彌散定量分析技術(shù)在子宮肌瘤與子宮腺肌瘤的鑒別診斷中有一定的價值,結(jié)合腔內(nèi)超聲檢查,能夠提高超聲對二者的鑒別診斷價值。
[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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