超声弹性成像组织弥散定量分析技术在子宫腺肌病中的应用价值  

Value of ultrasonic elastic quantitative analysis technique of organization diffusion in adenomyosis

作　　者：王礼贤[1] 杨漪[1] 刘伟伟[1] 王静[1] 闫晓静[1] 温小多 

机构地区：[1]河北医科大学第四医院妇产超声科,石家庄050011

出　　处：《中华超声影像学杂志》2016年第3期243-247,共5页Chinese Journal of Ultrasonography

摘　　要：目的探讨超声弹性成像组织弥散定量分析技术在子宫腺肌病中的应用价值。方法将93例子宫腺肌病患者分为腺肌症和腺肌瘤组，另设对照组40例。对所有受检者进行经阴道超声扫查后，采用实时超声弹性成像组织弥散定量分析技术得出11个弹性特征量测值，并对其进行分析。结果三组超声弹性成像图像表现有不同特点，腺肌症和腺肌瘤两组与对照组之间各参数差异均有统计学意义（P〈0．05），而腺肌症组与腺肌瘤组之间各参数比较差异无统计学意义（P〉0．05）。应用ROC曲线分析，分别得出11个参数的截断值，其中特异度最高的指标为标准偏差（SD，99％），敏感度最高的指标为一致性（ASM，100％），准确度最高的指标为杂乱度（IDM，94％）。结论超声弹性成像组织弥散定量分析技术可进一步提高超声对子宫腺肌病的诊断效能。Objective To investigate the value of the ultrasonic elastic quantitative analysis technique of organization diffusion in adenomyosis. Methods Ninty-three patients with adenomyosis were divided into adenomyosis group （ n = 52） and adenomyoma group （ n = 41）, and fourty healthy subjects were enrolled as control group. All subjects underwent conventional ultrasound and real-time tissue elastography. Eleven elastic characteristics of all the subjects were performed. Results Different characteristics of ultrasound elastography images appeared in different groups. The measured values of elastic characteristics were significantly different between case group and normal group （ P 〈 0.05）, but they were no significant difference between adenomyosis group and adenomyoma group （ P〉 0.05）. The cutoff values of every index were analyzed by ROC curve. The strongest specificity index was SD（99%）, the highest sensitivity index was ASM （100%）, and the highest accuracy index was IDM （94%）. Conclusions The value of ultrasonic elastic quantitative analysis of organization diffusion technique in adenomyosis can improve the ultrasound diagnosis of this diease.

关 键 词：弹性成像技术 子宫腺肌病 

分 类 号：R711.74[医药卫生—妇产科学] R445.1[医药卫生—临床医学]