超声与MRI诊断纤维脂肪性血管性病变的效能比较  

A comparative study on the diagnostic efficacy of ultrasound and MRI in fibro-adipose vascular anomaly

作　　者：胡文笳 魏帆 王朝晗 郑玉琳 吴刚 李海婷 董长宪 龚毓宾 Hu Wenjia;Wei Fan;Wang Zhaohan;Zheng Yulin;Wu Gang;Li Haiting;Dong Changxian;Gong Yubin(Department of Ultrasound,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Henan University People’s Hospital,Zhengzhou 450003,China;Department of Radiology,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Henan University People’s Hospital,Zhengzhou 450003,China;Department of Hemangioma,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Henan University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院,郑州大学人民医院,河南大学人民医院超声医学科,郑州450003 [2]河南省人民医院,郑州大学人民医院,河南大学人民医院放射科,郑州450003 [3]河南省人民医院,郑州大学人民医院,河南大学人民医院血管瘤科,郑州450003

出　　处：《中华整形外科杂志》2024年第3期293-299,共7页Chinese Journal of Plastic Surgery

摘　　要：目的对比纤维脂肪性血管性病变(FAVA)的超声与MRI诊断效能。方法回顾性分析2011年1月至2021年10月于河南省人民医院行超声和MRI检查的疑似FAVA患者的临床资料。分析超声和MRI的影像学表现及特征并将影像结果与病理结果进行对比。评价超声和MRI诊断FAVA的效能指标采用敏感度、特异度、阳性预测值、阴性预测值和符合率。采用配对χ^(2)检验(McNemar检验)比较超声、MRI及两者联合诊断符合率,P<0.05为差异有统计学意义。结果共纳入50例患者,男24例,女26例,年龄(16.2±10.5)岁(1~50岁)。FAVA患者43例,非FAVA患者7例。超声诊断FAVA的敏感度、特异度、阳性预测值、阴性预测值和符合率分别为83.7%、71.4%、94.7%、41.7%和82.0%;MRI诊断FAVA的敏感度、特异度、阳性预测值、阴性预测值和符合率分别为69.8%、85.7%、96.8%、31.6%和72.0%;两者联合诊断FAVA的敏感度、特异度、阳性预测值、阴性预测值和符合率分别为90.7%、71.4%、95.1%、55.6%和88.0%。超声诊断的符合率高于MRI,差异无统计学意义(χ^(2)=1.41,P=0.235)。两者联合诊断符合率高于超声(χ^(2)=0.71,P=0.401),高于MRI(χ^(2)=4.00,P=0.039),后者差异有统计学意义。结论超声与MRI对FAVA均有较高诊断价值,两者联合诊断可提高术前诊断符合率。Objective To compare the diagnostic efficacy of ultrasound and MRI in fibro-adipose vascular anomaly(FAVA).Methods The clinical data of patients with suspected FAVA who underwent ultrasound and MRI examinations at Henan Provincial People’s Hospital from January 2011 to October 2021 were retrospectively analyzed.The imaging findings from ultrasound and MRI were analyzed,and then compared with the pathological findings.To evaluate the diagnostic efficacy of ultrasound and MRI in diagnosing FAVA by assessing sensitivity,specificity,positive predictive value,negative predictive value,and coincidence rate.Pairedχ^(2) test(McNemar test)was used to compare the coincidence rate of ultrasound and MRI,as well as their combined diagnosis.A significance level of P<0.05 was considered statistically significant.Results A total of 50 patients were included in the study,comprising 24 males and 26 females,with their ages ranging from 1 to 50 years and an average age of(16.2±10.5)years.Pathology confirmed 43 FAVA patients and 7 non-FAVA patients.The sensitivity,specificity,positive predictive value,negative predictive value,and coincidence rate of ultrasound in the diagnosis of FAVA were 83.7%,71.4%,94.7%,41.7%,and 82.0%,respectively.The sensitivity,specificity,positive predictive value,negative predictive value,and coincidence rate of MRI in the diagnosis of FAVA were 69.8%,85.7%,96.8%,31.6%,and 72.0%,respectively.The sensitivity,specificity,positive predictive value,negative predictive value,and coincidence rate of FAVA were 90.7%,71.4%,95.1%,55.6%,and 88.0%,respectively.The diagnostic accuracy of ultrasound was higher than that of MRI,but the difference was not statistically significant(χ^(2)=1.41,P=0.235).The coincidence rate of combined diagnosis was higher than that of ultrasound(χ^(2)=0.71,P=0.401)and MRI(χ^(2)=4.00,P=0.039),with a statistically significant difference.Conclusion Both ultrasound and MRI are highly valuable in diagnosing FAVA.The combined usage of ultrasound and MRI can enhance the accuracy of preopera

关 键 词：磁共振成像 超声声像图 纤维脂肪性血管性病变 血管瘤 脉管畸形 

分 类 号：R543[医药卫生—心血管疾病]