超声弹性成像在浅表器官及软组织肿块诊断中的应用效果及效能ROC曲线研究  

Application effect and efficiency ROC curve of ultrasonic elastography in the diagnosis of superficial organ and soft tissue masses

作　　者：吴文瑛[1] 李义学[1] 王晓岩[1] 赵丽[1] 聂明辉[1] 赵俊玲 冯佩明[1] WU Wen-ying;LI Yi-xue;WANG Xiao-yan;ZHAO Li;NIE Ming-hui;ZHAO Jun-ling;FENG Pei-ming(Department of Ultrasound,South District Affiliated Hospital of Chengde Medical College,Chengde 067000,China)

机构地区：[1]承德医学院附属医院南区超声科,河北承德067000 [2]河北北方学院附属第一医院超声科,河北张家口075000

出　　处：《武警后勤学院学报（医学版）》2021年第10期56-58,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨超声弹性成像在浅表器官及软组织肿块中的诊断应用效果及效能ROC曲线。【方法】选择疑似浅表器官及软组织肿块患者126例作为研究对象,所有患者入院后均采用二维超声、超声弹性成像检查,并以病理组织检查作为“金标准”,比较不同检查方法的检出率,分析其超声特点;绘制受试者工作特征曲线(receiver operating characteristic curve,ROC曲线),分析超声弹性成像、二维超声在浅表器官及软组织肿块中的诊断效能。【结果】126例疑似浅表器官及软组织肿块患者均经病理组织检查确诊,其中良性肿物105例,恶性肿瘤21例;二维超声检查最终确诊109例,与病理结果诊断符合率为86.51%;超声弹性成像最终确诊119例,与病理结果诊断符合率为94.44%;超声弹性成像诊断符合率高于二维超声;ROC曲线结果表明:超声弹性成像联合二维超声用于浅表器官及软组织肿块中诊断灵敏度和特异度均高于单一超声弹性成像和二维超声(P<0.05)。【结论】超声弹性成像用于浅表器官及软组织肿块患者中检出率较高,具有典型的超声特点,且联合二维超声检查诊断灵敏度及特异度较高,能为临床诊疗提供参考依据。【Objective】To investigate the diagnostic application effect and receiver operating characteristic curve(ROC curve)of ultrasonic elastography in superficial organs and soft tissue masses.【Methods】The 126 patients with suspected superficial organ and soft tissue masses were selected as the research object.All patients were examined by two-dimensional ultrasound and ultrasonic elastography after admission,and pathological tissue examination was taken as the"gold standard".The detection rates of different examination methods were compared and their ultrasonic characteristics were analyzed;Draw ROC curve,and analyze the diagnostic efficacy of ultrasonic elastography and two-dimensional ultrasound in superficial organs and soft tissue masses.【Results】The 126 patients with suspected superficial organ and soft tissue masses were confirmed by pathological examination,including 105 cases of benign tumors and 21 cases of malignant tumors;109 cases were finally diagnosed by two-dimensional ultrasonography,and the coincidence rate with pathological results was 86.51%.119 cases were finally diagnosed by ultrasonic elastography,and the coincidence rate with pathological results was 94.44%;The diagnostic coincidence rate of ultrasound elastography was higher than that of two-dimensional ultrasound;ROC curve showed that the sensitivity and specificity of ultrasound elastography combined with two-dimensional ultrasound in the diagnosis of superficial organ and soft tissue masses were higher than those of single ultrasound elastography and two-dimensional ultrasound(P<0.05).【Conclusion】Ultrasonic elastography has high detection rate in patients with superficial organ and soft tissue masses,has typical ultrasonic characteristics,and has high diagnostic sensitivity and specificity combined with two-dimensional ultrasound,which can provide reference basis for clinical diagnosis and treatment.

关 键 词：超声弹性成像 浅表器官 软组织肿块 二维超声 诊断效能 ROC曲线 

分 类 号：R445.1[医药卫生—影像医学与核医学]