摘要
目的:探究腹部超声及超声造影在子宫肌瘤(UF)、子宫腺肌症(Am)鉴别价值。方法:选取2018年3月-2020年3月本院收治的子宫局部灶性病变患者80例,分为UF组47例、Am组33例,同期体检正常女性30例为对照组。检测并比较超声定量参数收缩期峰值血流速度(Vs)、阻力指数(RI)、搏动指数(PI),超声造影定量参数始增时间(AT)、达峰时间(TTP)及峰值强度(IMAX)。结果:3组Vs、PI值无差异(P>0.05),RI值UF组低于Am组且均低于对照组(P<0.05)。UF组AT、TTP高于对照组,Am组TTP、IMAX低于对照组,UF组AT、TTP、IMAX均高于Am组(均P<0.05)。ROC曲线显示,RI、AT、TTP、IMAXI对UF均有一定诊断价值,AUC分别为0.867、0.823、0.804、0.764,超声+超声造影均使AUC及敏感度提高,分别为0.980、0.967;RI、TTP、IMAXI对Am均有一定诊断价值,AUC分别为0.850、0.792、0.887,超声+超声造影AUC及敏感度均提高,分别为0.910、0.900。结论:超声及超声造影对UF、Am均有一定鉴别能力,但以二者联合诊断效能更高。
Objective: To explore the value of abdominal ultrasound combined with contrast-enhanced ultrasound for distinguish of uterine fibroids(UF) and adenomyosis of women. Methods: 80 women with uterine focal lesions were selected and were divided 47 women with UF in group A and 33 women with adenomyosis in group B from March 2018 to March 2020. Another 30 normal women were selected in group C during the same period. The values of blood flow velocity(Vs), resistance index(RI), and pulsatile index(PI) of ultrasonic contrast-enhanced quantitative parameters, and the values of start increase time(AT), time to peak(TTP), and peak intensity maxmum(IMAX) of ultrasound contrast quantitative parameters of the women were measured and compared among the three groups. Results: There were no significant differences in the values of Vs and PI of the women among the three groups(P>0.05). The value of RI of the women in group A was significantly lower than that of the women in group B, and which of the women in group B was significantly lower than that of the women in group C(P<0.05). The values of AT and TTP of the women in group A were significantly higher than those of the women in group C. The values of TTP and IMAX of the women in group B were significantly lower than those of the women in group C. The values of AT, TTP, and IMAX of the women in group A were significantly higher than those of the women in group B(all P<0.05). ROC curve showed that the values of RI, AT, TTP, and IMAXI had certain diagnostic value for UF, and which AUC were 0.867, 0.823, 0.804, and 0.764, respectively. The AUC and the sensitivity of abdominal ultrasound combined with contrast-enhanced ultrasound for diagnosing UF were 0.980 and 0.967, which were significantly higher than those of ultrasound or contrast-enhanced ultrasound alone. The values of RI, TTP, and IMAXI had certain diagnostic value for adenomyosis, and which AUC were 0.850, 0.792, and 0.887, respectively. The AUC and the sensitivity of abdominal ultrasound combined with contrast-enhanced ultrasound for diagnosing adenomyosis were 0.910 and 0.900,which were significantly higher than those of ultrasound or contrast-enhanced ultrasound alone.Conclusion:Ultrasound and contrast-enhanced ultrasound can distinguish of UF and adenomyosis of women,but combined the ultrasound and contrast-enhanced ultrasound has higher diagnostic efficiency.
作者
付江柯
高静
王英
FU Jiangke;GAO Jing;WANG Ying(Nanyang Oilfield General Hospital,Henan Province,473132;Nanyang Central Hospital,Henan Province)
出处
《中国计划生育学杂志》
2022年第2期394-398,共5页
Chinese Journal of Family Planning
关键词
子宫肌瘤
子宫腺肌症
超声
超声造影
鉴别诊断
Uterine fibroids
Adenomyosis
Ultrasound
Contrast-enhanced ultrasound
Differential diagnosis
