超声造影联合声辐射力脉冲成像鉴别诊断盆腔肿物的价值  

The Value of Contrast Enhanced Ultrasound and Acoustic Radiation Force Pulse Imaging in the Differential Diagnosis of Pelvic Tumor

作　　者：杨碧云[1] 李虎宜[2] 向双[1] 尹慧[1] 张伟[1] 

机构地区：[1]湖北医药学院附属东风公司医院超声科,湖北十堰442008 [2]湖北医药学院附属东风公司医院泌尿科,湖北十堰442008

出　　处：《现代生物医学进展》2015年第17期3286-3289,共4页Progress in Modern Biomedicine

摘　　要：目的:评价超声造影及声辐射力脉冲成像技术在诊断及鉴别诊断盆腔良恶性肿块性质中的优越性。方法:分析术前超声造影及声辐射力脉冲成像技术在48例盆腔肿块中的检查结果,探讨两种技术对于肿块性质判定的应用价值。结果:48例中,良性肿块28例,恶性肿块20例。超声造影、声辐射力脉冲成像技术与常规超声相比,诊断的敏感性、特异性、漏诊率、误诊率、诊断准确性等指标均有统计学差异(P<0.05),两者联合应用组与常规超声组相比上述指标的统计学差异更加明显(P<0.01),超声造影技术和声辐射力脉冲成像技术在判断肿块良恶性方面诊断的敏感性、特异性、漏诊率、误诊率、诊断的准确性没有统计学差异(P>0.05);超声造影与声辐射力脉冲成像对盆腔良恶性肿块定性诊断与病理诊断具有一致性,两者联合具有更好的一致性(Kappa=0.8362,0.7126,0.9241)。良恶性盆腔肿块中,实性为主者ARFI值均高于囊实混合性者;实性为主和囊实混合性的恶性盆腔肿块ARFI值均高于良性盆腔肿块,差异有统计学意义(均P<0.05)。结论:实时超声造影联合声辐射力脉冲成像技术较常规超声更具优势,可提高盆腔肿物诊断及鉴别诊断的准确性。Objective： To evaluate the superiority of contrast enhanced ultrasound and acoustic radiation force pulse imaging in the differential diagnosis of pelvic tumor. Methods： Analysis of the test results of contrast enhanced ultrasound and acoustic radiation force pulse imaging in the differential diagnosis of 48 cases of pelvic tumor, to explore the application value of the two types of techniques in the determination of mass properties. Results： There were 28 cases of benign tumor and 20 cases of malignant tumor in 48 cases of pelvic tumor. There were significant differences in sensitivity, specificity, missed diagnosis rate, misdiagnosis, diagnostic accuracy between contrast enhanced ultrasound, acoustic radiation force pulse imaging and conventional ultrasound（P〈 0.05）, while the statistical differences were more pronounced in the above indexes between the combined group and conventional ultrasound group. There were no significant difference in sensitivity, specificity, missed diagnosis rate, misdiagnosis or diagnostic accuracy between ultrasound technology and pulse acoustic radiation force imaging technology（P〈0.05）. Contrast enhanced ultrasound and acoustic radiation force pulse imaging had the consistency of pathological diagnosis in qualitative diagnosis of pelvic tumors, and the combination of the two methods has better consistency（Kappa=0.8362, 0.7126, 0.9241）. The ARFI of real patients with solid pelvic masses was higher than those with the mixed cystic and solid masses. In patients with cystic and solid masses,the ARFI of malignant pelvic masses were higher than those of benign pelvic masses, the difference was statistically significant（P〈0.05）. Conclusion： Combination of real time ultrasound imaging and pulse acoustic radiation force imaging technology was prior to conventional ultrasound, it can improve the accuracy of diagnosis and differential diagnosis of pelvic masses.

关 键 词：超声造影 声辐射力脉冲成像 盆腔肿物 

分 类 号：R711.33[医药卫生—妇产科学] R445[医药卫生—临床医学]