超声弹性成像组织弥散定量分析诊断宫颈良恶性病变的临床效果  

Diagnostic Effects of Ultrasound Elastography Tissue Diffusion Quantitative Analysis on the Benign and Malignant Cervical Lesions

作　　者：韩红芳[1] 乞艳华[2] 郑转梅[2] 屈秋慧 赵静 HAN Hong-fang;QI Yan-hua;ZHENG Zhuan-mei;QU Qiu-hui;ZHAO Jing(Department of Gynaecology and Obstetrics,Second Affiliated Hospital,Xi'an Jiaotong University,Xi'an,Shaanxi,710004,China;Department of Ultrasonograph,Second Affiliated Hospital,Xi'an Jiaotong University,Xi'an,Shaanxi,710004,China;Department of Ultrasound,Xi'an New Chang'an International Maternity Hospital,Xi'an,Shaanxi,710000,China)

机构地区：[1]西安交通大学第二附属医院妇产科,陕西西安710004 [2]西安交通大学第二附属医院超声科,陕西西安710004 [3]西安新长安国际妇产医院超声科,陕西西安710000

出　　处：《现代生物医学进展》2020年第12期2263-2266,共4页Progress in Modern Biomedicine

基　　金：陕西省社发攻关项目(S2015YFSF0310)。

摘　　要：目的:探讨超声弹性成像组织弥散定量分析诊断宫颈良恶性病变中的临床效果。方法:选择2018年2月到2019年7月在我院诊治的宫颈病变患者88例,包括病理检查为良性病变68例(良性组)和恶性病变20例(恶性组)。所有患者都给予常规超声、多普勒血流超声与超声弹性成像组织弥散定量分析,记录影像学特征,分析诊断效果。结果:恶性组的超声血流分级2级和3级、超声弹性成像半定量评分4分和5分显著高于良性组(P<0.05)。恶性组SR值显著高于良性组(P<0.05)。超声弹性成像组织弥散定量诊断宫颈良恶性病变的敏感性与特异性分别为95.6%和95.0%。ROC曲线结果显示超声弹性成像组织弥散定量诊断宫颈良恶性病变的AUC值为0.914。结论:超声弹性成像组织弥散定量分析能有效诊断宫颈良恶性病变,敏感性与特异性均较高。Objective: To investigate the diagnostic clinical effects of ultrasound elastography tissue diffusion quantitative analysis in benign and malignant cervical lesions. Methods: 88 patients with cervical lesions were selected and treated in our hospital from February 2018 to July 2019, included 68 benign lesions(benign group) and 20 malignant lesions(malignant group). All patients were given conventional ultrasound, Doppler flow ultrasound and ultrasound elastography tissue diffusion quantitative analysis, recorded the imaging characteristics and were to judgment diagnosis. Results: Ultrasound blood flow grade 2 and 3, and ultrasound elastography semi-quantitative scores of 4 and 5 were significantly higher in the malignant group than in the benign group(P<0.05). The SR value of the malignant group were significantly higher than of the benign group(P<0.05). The sensitivity and specificity of ultrasound elastography tissue diffusion quantitative diagnosis and diagnosis of benign and malignant cervical lesions were 95.6% and 95.0%,respectively. The results of ROC curve showed that the AUC value of ultrasound elastography tissue diffusion quantitative diagnosis of benign and malignant cervical lesions was 0.914. Conclusion: Ultrasound elastography tissue diffusion quantitative analysis can effectively identify benign and malignant cervical lesions with high sensitivity and specificity.

关 键 词：超声弹性成像 组织弥散定量 宫颈病变 血流分级 诊断效果 

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