超声三维容积成像联合剪切波弹性成像诊断子宫内膜病变的价值  

Value of Ultrasound Three-Dimensional Volume Imaging Combined with ShearWave Elastography in the Diagnosis of Endometrial Lesions

作　　者：李国芳[1] 王晓静[1] 孙新党 王嫦华 史景璐[1] LI Guofang;WANG Xiaojing;SUN Xindang;WANG Changhua;SHI Jinglu(Department of Ultrasound Medicine,People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院超声医学科,河南郑州450000

出　　处：《河南医学研究》2024年第5期918-921,共4页Henan Medical Research

摘　　要：目的探讨超声三维容积成像联合剪切波弹性成像(SWE)诊断子宫内膜病变的价值。方法选取郑州人民医院2019年8月至2022年7月接收的100例子宫内膜病变患者,所有患者均在入院后接收超声三维容积成像、SWE检查,以术后病理结果为金标准,比较超声三维容积成像、剪切波弹性成像及联合诊断子宫内膜病变的价值。结果经活检或术后病理检查结果证实,100例子宫内膜病变患者中共有75例良性病变,25例恶性病变。其中子宫良性病变中子宫内膜息肉33例、子宫内膜增生不伴不典型增生18例,子宫黏膜下平滑肌瘤12例、其他(子宫腺肌病、子宫腺肌瘤、子宫内膜炎等)12例。恶性病变均为子宫内膜样腺癌;联合诊断的灵敏度及准确度最高,其次为SWE、超声三维容积成像,3种方式诊断效能比较,差异有统计学意义(P<0.05);Kappa一致性检验,超声三维容积成像联合SWE诊断不同子宫内膜病变的与活检或术后病理检查结果的一致性较好(P<0.05)。结论超声三维容积成像联合SWE在子宫内膜病变诊断中具有较高的临床价值,可提高对不同类型子宫内膜病变的诊断价值。Objective To explore the value of ultrasound three-dimensional volume imaging combined with shear wave elastography(SWE)in the diagnosis of endometrial lesions.Methods A total of 100 patients with endometrial lesions were selected from People’s Hospital of Zhengzhou from August 2019 to July 2022.All patients received ultrasound three-dimensional volume imaging and SWE examination after admission.The postoperative pathological results were used as the gold standard to compare the value of ultrasound three-dimensional volume imaging,shear wave elastography,and combined diagnosis of endometrial lesions.Results According to biopsy or postoperative pathological examination results,a total of 75 cases of benign lesions and 25 cases of malignant lesions were confirmed in 100 patients with endometrial lesions.Among them,33 cases of benign uterine diseases were endometrial polyp,18 cases of endometrial hyperplasia without atypical hyperplasia,12 cases of submucous leiomyoma of uterus,and 12 cases of others(adenomyosis,uterine adenomyoma,endometritis,etc).All malignant lesions were endometrioid adenocarcinoma.The sensitivity and accuracy of joint diagnosis were the highest,followed by SWE and ultrasound three-dimensional volume imaging.The diagnostic efficacy of the three methods was statistically significant(P<0.05).Kappa consistency test showed that the combination of ultrasound three-dimensional volume imaging and SWE in diagnosing different endometrial lesions showed good consistency with biopsy or postoperative pathological examination results(P<0.05).Conclusion The combination of ultrasound three-dimensional volume imaging and SWE has high clinical value in the diagnosis of endometrial lesions,which can improve the diagnostic value of different types of endometrial lesions.

关 键 词：子宫内膜病变 超声三维容积成像 剪切波弹性成像 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]