子宫内膜-肌层交界区超声多参数对子宫腺肌病的诊断价值  

Diagnostic value of multiparameter ultrasonography of endometrial-myometrial interface in adenomyosis

作　　者：卢佳 胡兵[1] 谢敏敏 杨莹 丁凌[1] LU Jia;HU Bing;XIE Min-min(Department of Ultrasound,Affiliated Renhe Hospital of China Three Gorges University,Yichang 443001,China)

机构地区：[1]宜昌三峡大学附属仁和医院超声影像科,湖北443001

出　　处：《放射学实践》2023年第10期1307-1311,共5页Radiologic Practice

基　　金：宜昌市医疗卫生科研项目基金(A22-2-056)。

摘　　要：目的:探讨子宫内膜-肌层交界区(EMI)超声多参数诊断子宫腺肌病(AD)的价值。方法:回顾性研究2021年5月至2022年7月于本院超声影像科进行常规性检查的处于排卵前期的育龄妇女,将60例子宫腺肌病患者纳入AD组,另选取100例健康女性纳入对照组,比较AD组与对照组EMI多参数的差异,分析其对AD的诊断价值。结果:两组患者年龄、CA125水平、EMI平均厚度、EMI形态、内膜FI、EMI容积、EMI-VI、EMI-FI以及EMI-VFI的差异有统计学意义(P<0.05)。其中EMI形态异常(OR=3.143,95%CI:1.485~6.650)、EMI平均厚度(OR=4.855,95%CI:2.199~10.718)、EMI-FI(OR=0.863,95%CI:0.769~0.967)均为AD独立相关因素。将EMI形态联合EMI平均厚度诊断AD准确度为86.88%,Kappa检验一致性较高。结论:EMI多参数诊断AD具有一定价值,EMI形态联合EMI平均厚度具有良好的诊断效能。Objective:To evaluate the value of ultrasonic multiparameter endometrial-myometrial interface(EMI)in diagnosing of adenomyosis(AD).Methods:The retrospective study was conducted on pre-ovulatory women of childbearing age who accepted routine examination in the ultrasound imaging department of our hospital from May 2021 to July 2022.Sixty patients with adenomyosis were included in the AD group,and another one hundred healthy women were selected as the control group.The differences in EMI parameters between the AD and control groups were compared,and the diagnostic value of EMI parameters for AD was analyzed.Results:Age,CA125 level,average EMI thickness,EMI morphology,FI of endometrium,EMI volume,MEI-VI,EMI-FI,and EMI-VFI showed significant differences among patients in these two groups(all P<0.05).Among them,abnormal EMI morphology(OR=3.143,95%CI:1.485~6.650),average EMI thickness(OR=4.855,95%CI:2.199~10.718)and EMI-FI(OR=0.863,95%CI:0.769~0.967)were independent risk factors related to AD.Combining EMI morphology with average EMI thickness achieved an accuracy of 86.88%in diagnosing AD,with a relatively high consistency of Kappa test.Conclusion:The EMI multiparameters have a certain value in the diagnosis of AD,among which EMI morphology combined with average EMI thickness showed a favourable diagnostic efficiency.

关 键 词：子宫腺肌病 超声检查 多普勒 诊断 

分 类 号：R711.71[医药卫生—妇产科学] R445.1[医药卫生—临床医学] R44