TVS和CEUS诊断子宫内膜良恶性病变的价值  

The Value of TVS and CEUS in the Diagnosis of Benign and Malignant Endometrial Lesions

作　　者：关义满[1] 刘雅宁 张钗 李德鑫 常雅丽[1] GUAN Yiman;LIU Yaning;ZHANG Chai;LI Dexin;CHANG Yali(The Third Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei,P.R.China;Shenzhou Hospital in Hebei Province,Shenzhou 053800,Hebei,P.R.China)

机构地区：[1]河北医科大学第三医院,河北石家庄050000 [2]河北省深州市医院,河北深州053800

出　　处：《影像科学与光化学》2022年第1期69-72,共4页Imaging Science and Photochemistry

基　　金：河北省2016年医学科学研究重点课题计划(20160584)。

摘　　要：本次研究的目的是探讨子宫内膜良恶性病变中,经阴道超声检查(TVS)和超声造影(CEUS)的鉴别诊断价值。选取确诊的子宫内膜病变患者108例,给予TVS和CEUS检查。经病理学检查,恶性病变60例,良性病变48例;CEUS诊断子宫内膜良恶性病变的灵敏性、准确性和阴性预测值明显高于TVS检查(P<0.05);恶性病变和良性病变阻力指数(RI)、达峰时间(TTP)与峰值强度(Peak)有明显差异(P<0.05);Ⅲ~Ⅳ和Ⅰ~Ⅱ期RI、TTP和Peak有明显差异(P<0.05);RI、Peak和TTP诊断子宫内膜恶性病变的ROC曲线下面积分别为0.740、0.789和0.856,P<0.05。相比较TVS,CEUS鉴别诊断子宫内膜良恶性疾病有较好的价值,值得临床应用。The purpose of this study was to explore the value of transvaginal ultrasonography(TVS) and contrast-enhanced ultrasound(CEUS) in the differential diagnosis of endometrial benign and malignant lesions. One-hundred and eight patients with endometriosis were selected, and they were given TVS and CEUS inspection. According to pathological examination, 60 cases were malignant and 48 cases were benign. The sensitivity, accuracy and negative predictive value of CEUS diagnosis of endometrial benign and malignant lesions were significantly higher than those of TVS(P<0.05). The resistance index(RI), time to peak(TTP) and peak intensity(Peak) of malignant lesions and benign lesions were significantly different(P<0.05). The RI, TTP and peak of stage Ⅲ-Ⅳ and Ⅰ-Ⅱ were significantly different(P<0.05). The area under ROC curve of RI, peak and TTP in the diagnosis of endometrial malignant lesions were 0.740, 0.789 and 0.856, P<0.05. Compare with TVS, CEUS has a better value in differential diagnosis of endometrial benign and malignant diseases, which is worth clinical application.

关 键 词：经阴道超声检查 超声造影 子宫内膜 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学] R737.33[医药卫生—临床医学]