目的:通过联合高频超声测量皮肤真皮层厚度、CDFI和SMI评估皮肤血流灌注等多模态超声成像技术评估富血小板纤维蛋白(PRF)注射矫正鼻唇沟皱纹的术后效果。方法:36例鼻唇沟严重程度评定量表(WSRS)评分在3分或4分的受试者,应用PRF注射治疗...目的:通过联合高频超声测量皮肤真皮层厚度、CDFI和SMI评估皮肤血流灌注等多模态超声成像技术评估富血小板纤维蛋白(PRF)注射矫正鼻唇沟皱纹的术后效果。方法:36例鼻唇沟严重程度评定量表(WSRS)评分在3分或4分的受试者,应用PRF注射治疗,以高频超声采集其治疗前及治疗后各时间点的皮肤真皮层厚度、血流量,并将鼻唇沟注射前的超声数据作为参考基线,动态评估鼻唇沟治疗前后的真皮层厚度、血流量的效果差异。结果:与治疗前相比,WSRS评分治疗后1月和3月显著降低(2.53±0.56、2.61±0.55 vs 3.42±0.50,P均<0.01);全球审美改善量表GAIS评分治疗后1月和3月明显改善,治疗后6月则倾向无效;鼻唇沟皮肤真皮层厚度治疗后1月和3月显著增加(1.90±0.06、1.89±0.06 vs 1.59±0.08,P均<0.01)。临床评估的WSRS评分和超声定量测量皮肤厚度变化之间显著负相关关系(Rs=-0.729,P<0.01)。CDFI评估发现治疗后1-3月皮肤血流Adler分级显著增加(χ^(2)=59.204,P<0.01);SMI评估发现治疗后1-3月所有受试者皮肤血流信号增多丰富。结论:多模态超声成像技术凭借其对鼻唇沟皮肤的可视化,通过厚度、回声、血流评估PRF治疗后及远期效果,为鼻唇沟的年轻化治疗提供了一种新的测量评估方法。展开更多
目的:探讨经阴道三维超声(3 dimensional transvaginal ultrasound, 3D-TVS)联合超声造影(contrast-enhanced ultrasound, CEUS)对子宫内膜息肉(Endometrium polyps, EPs)的诊断价值。方法:选取112例临床可疑EPs患者,分别行经阴道超声(2...目的:探讨经阴道三维超声(3 dimensional transvaginal ultrasound, 3D-TVS)联合超声造影(contrast-enhanced ultrasound, CEUS)对子宫内膜息肉(Endometrium polyps, EPs)的诊断价值。方法:选取112例临床可疑EPs患者,分别行经阴道超声(2 dimensional transvaginal ultrasound, 2D-TVS)、3D-TVS及CEUS检查,所有患者均行宫腔镜获得病理检查结果。采用SPSS 24.0统计学软件分析,计数资料采用[n(%)]表示,进行交叉检验及ROC曲线分析结果,以p Objective: To investigate the diagnostic value of three-dimensional transvaginal ultrasound(3D-TVS) combined with contrast-enhanced ultrasound (CEUS) in Endometrial polyps (Eps). Methods: A total of 112 patients with clinically suspected EPs were selected and examined by 2-dimensional transvaginal ultrasound (2D-TVS), 3D-TVS and CEUS, respectively. All patients underwent hysteroscopy to obtain pathological examination results. SPSS 24.0 statistical software was used for analysis, and the count data was represented by [n(%)]. Cross-check and ROC curve analysis were performed, and p < 0.05 was considered statistically significant. Results: Postoperative pathology confirmed a total of 55 patients with EPs, 57 of whom were non-endometrial polyps. The accuracy, sensitivity and specificity of 2D-TVS in the diagnosis of EPs were 74.0%, 69.1% and 78.9%. The accuracy, sensitivity and specificity of 3D-TVS for EPs diagnosis were 77.6%, 74.5% and 80.7%. The diagnostic results of 2D-TVS combined with CEUS were 82.1%, sensitivity 90.9%, specificity 84.2%, and those of 3D-TVS combined with CEUS were 91.9%, sensitivity 90.9%, specificity 93.0%, with statistical significance (p < 0.05). Conclusion: 3D-TVS ultrasound combined with CEUS examination has obvious advantages in the diagnosis of endometrial polyps.展开更多
文摘目的:通过联合高频超声测量皮肤真皮层厚度、CDFI和SMI评估皮肤血流灌注等多模态超声成像技术评估富血小板纤维蛋白(PRF)注射矫正鼻唇沟皱纹的术后效果。方法:36例鼻唇沟严重程度评定量表(WSRS)评分在3分或4分的受试者,应用PRF注射治疗,以高频超声采集其治疗前及治疗后各时间点的皮肤真皮层厚度、血流量,并将鼻唇沟注射前的超声数据作为参考基线,动态评估鼻唇沟治疗前后的真皮层厚度、血流量的效果差异。结果:与治疗前相比,WSRS评分治疗后1月和3月显著降低(2.53±0.56、2.61±0.55 vs 3.42±0.50,P均<0.01);全球审美改善量表GAIS评分治疗后1月和3月明显改善,治疗后6月则倾向无效;鼻唇沟皮肤真皮层厚度治疗后1月和3月显著增加(1.90±0.06、1.89±0.06 vs 1.59±0.08,P均<0.01)。临床评估的WSRS评分和超声定量测量皮肤厚度变化之间显著负相关关系(Rs=-0.729,P<0.01)。CDFI评估发现治疗后1-3月皮肤血流Adler分级显著增加(χ^(2)=59.204,P<0.01);SMI评估发现治疗后1-3月所有受试者皮肤血流信号增多丰富。结论:多模态超声成像技术凭借其对鼻唇沟皮肤的可视化,通过厚度、回声、血流评估PRF治疗后及远期效果,为鼻唇沟的年轻化治疗提供了一种新的测量评估方法。
文摘目的:探讨经阴道三维超声(3 dimensional transvaginal ultrasound, 3D-TVS)联合超声造影(contrast-enhanced ultrasound, CEUS)对子宫内膜息肉(Endometrium polyps, EPs)的诊断价值。方法:选取112例临床可疑EPs患者,分别行经阴道超声(2 dimensional transvaginal ultrasound, 2D-TVS)、3D-TVS及CEUS检查,所有患者均行宫腔镜获得病理检查结果。采用SPSS 24.0统计学软件分析,计数资料采用[n(%)]表示,进行交叉检验及ROC曲线分析结果,以p Objective: To investigate the diagnostic value of three-dimensional transvaginal ultrasound(3D-TVS) combined with contrast-enhanced ultrasound (CEUS) in Endometrial polyps (Eps). Methods: A total of 112 patients with clinically suspected EPs were selected and examined by 2-dimensional transvaginal ultrasound (2D-TVS), 3D-TVS and CEUS, respectively. All patients underwent hysteroscopy to obtain pathological examination results. SPSS 24.0 statistical software was used for analysis, and the count data was represented by [n(%)]. Cross-check and ROC curve analysis were performed, and p < 0.05 was considered statistically significant. Results: Postoperative pathology confirmed a total of 55 patients with EPs, 57 of whom were non-endometrial polyps. The accuracy, sensitivity and specificity of 2D-TVS in the diagnosis of EPs were 74.0%, 69.1% and 78.9%. The accuracy, sensitivity and specificity of 3D-TVS for EPs diagnosis were 77.6%, 74.5% and 80.7%. The diagnostic results of 2D-TVS combined with CEUS were 82.1%, sensitivity 90.9%, specificity 84.2%, and those of 3D-TVS combined with CEUS were 91.9%, sensitivity 90.9%, specificity 93.0%, with statistical significance (p < 0.05). Conclusion: 3D-TVS ultrasound combined with CEUS examination has obvious advantages in the diagnosis of endometrial polyps.
