腔内超声及超声弹性成像鉴别诊断子宫肌瘤与子宫腺肌瘤  

The Value of Transvaginal Ultrasound and Elastosonography in Diagnosis of Myomass and Adenomyoma

作　　者：刘伟伟[1] 张路平[1] 闫晓静[1] 郭艳静[1] 孙翠芹 杨漪[1] 

机构地区：[1]河北医科大学第四医院超声科,石家庄市050011

出　　处：《中国超声医学杂志》2017年第11期1010-1012,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声弹性成像在子宫肌瘤及腺肌瘤鉴别诊断中的价值。方法选取经手术病理证实的子宫肌瘤组57例,子宫腺肌瘤组39例。应用弹性成像评分法及组织弥散定量技术对其进行评分及测量,探讨分析上述两种方法的应用价值。结果评分法诊断子宫肌瘤与腺肌瘤的诊断界值为3分(≥3分为子宫肌瘤),灵敏度为76.9%、特异度为71.9%、准确度为74%;组织弥散定量分析11个参数指标以蓝色区域面积(AREA%)的诊断为最佳诊断指标,诊断界值为45.02,灵敏度为79.5%、特异度为63.2%、准确度为70.0%。结论超声弹性成像评分法及组织弥散定量分析技术在子宫肌瘤与子宫腺肌瘤的鉴别诊断中有一定的价值,结合腔内超声检查,能够提高超声对二者的鉴别诊断价值。Objective To explore the value of transvaginal ultrasound and elastosonography in the diagnosis of myomas and adenomyoma. Apply Scoring Method and Strain Histogram to analysis the elastic-images of myomass and adenomyoma. Comparing the value of these methods in the differentiation of myomass and adenomyoma. Methods 57 cases with myomass, 39 cases with adenomyoma were selected from the 4th hospital of Hebei Medical University. The elastosonography of myomass and adenomyoma analysed by Scoring Method and Strain Histogram. The diagnostic val- ue evaluated in this two methods. Results Scoring method diagnosis myomass and adenomyoma＇s boundary value was 3（≥3 as myomass）;AREA% was a better diagnostic index among the 11 parameters of Strains Histogram, and the boundary value was 45.02. Conclusions Ultrasound elasticity Scoring Method and elastosonography Strain Histogram have certain value in the differential diagnosis of myomass and adenomyoma. The value of the differential diagnosis in the two diseases can be improved by combining B-mode Transvaginal Ultrasound with elastosonography.

关 键 词：子宫肌瘤 子宫腺肌瘤 超声弹性成像 组织弥散定量分析 评分法 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.33[医药卫生—诊断学]