盆腔结核超声图像特征及超声诊断价值  

Analysis of Ultrasonographic Features and Its Diagnostic Value for Pelvic Tuberculosis

作　　者：梁梅云 何年安 叶显俊 Liang Meiyun;He Nian'an;Ye Xianjun(Department of Ultrasound,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)超声医学科,合肥市230001

出　　处：《中国超声医学杂志》2024年第8期945-948,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的观察盆腔结核超声图像表现,总结其特征性图像表现及超声诊断价值。方法回顾性分析经病理诊断为盆腔结核患者20例与术后病理确诊为卵巢癌患者24例的基本信息及超声图像特征,单因素分析两组患者各指标间差异,筛选鉴别两者的独立影响因素,并绘制ROC曲线,总结盆腔结核超声图像特征表现,分析特征性指标对疾病的预测价值。结果两组病例年龄、包块回声、包块血流、肿大淋巴结钙化率、糖类抗原125(CA125)、人附睾蛋白4(HE4)的差异存在统计学意义(P<0.05);两组病例腹膜厚度、盆腔积液、包块大小、包块边界差异无统计学意义(P>0.05)。年龄、包块回声、包块血流、淋巴结钙化、CA125、HE4鉴别盆腔结核与卵巢癌的曲线下面积分别为0.94、0.69、0.69、0.86、0.56、0.95。年龄、HE4、淋巴结钙化对盆腔结核组和卵巢癌组的鉴别诊断预测能力好,对疾病的检出率更高。结论腹腔肠系膜淋巴结钙化为盆腔结核特征性表现;结合年龄及HE4对盆腔结核与卵巢癌的鉴别诊断有一定价值。Objective The ultrasonic manifestations of pelvic tuberculosis are observed.The characteristic image manifestations and ultrasonic diagnostic value are summarized.Methods The general data and ultrasound image features of 20 patients with pathological diagnosis of pelvic tuberculosis and 24 patients with pathological diagnosis of ovarian cancer were retrospectively analyzed.Univariate analysis was performed to determine the difference between the two groups.We screened the independent influencing factors of both and drew the receiver operating characteristic(ROC)curve.The ultrasonic image characteristics of pelvic tuberculosis was summarized,and the predictive value of characteristic indexes to disease was analyzed.Results There were statistical differences in age,mass echogenicity,mass blood flow,calcification rate of enlarged lymph nodes,blood CA125 and HE4 between the two groups(P<0.05).There was no significant difference in peritoneal thickness,pelvic effusion,mass size and mass boundary between the two groups(P>0.05).The area under the curve of age,mass echo,mass blood flow,lymph node calcification,CA125 and HE4 were 0.94,0.69,0.69,0.86,0.56 and 0.95,respectively,in distinguishing pelvic tuberculosis from ovarian cancer.Age.HE4 and lymph node calcification had better differential diagnosis,and higher detection rate for the disease.Conclusions Abdominal mesenteric lymph node calcification is a characteristic manifestation of pelvic tuberculosis.The combination of age and blood HE4 has a certain value in the differential diagnosis of pelvic tuberculosis and ovarian cancer.

关 键 词：盆腔结核 超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R52[医药卫生—诊断学]