子宫动脉彩色多普勒超声联合超声弹性成像诊断EMS价值  

Diagnostic value of uterine artery color Doppler ultrasound combined with ultrasound elastography for endometriosis

作　　者：朱建常 顾晓林 岳静 ZHU Jianchang;GU Xiaolin;YUE Jing(Huaibei Maternal and Child Health Care Hospital,Huaibei,Anhui Province,235000)

机构地区：[1]安徽省淮北市妇幼保健院,235000

出　　处：《中国计划生育学杂志》2024年第9期2122-2126,共5页Chinese Journal of Family Planning

基　　金：2022年安徽省重点研究与开发计划项目(2022e07020062)。

摘　　要：目的:分析子宫动脉彩色多普勒超声联合超声弹性成像对子宫内膜异位症(EMS)的诊断价值。方法:收集2018年7月-2023年12月本院治疗的103例EMS患者病例资料为观察组,超声检查证实无EMS女性56例为对照组,均接受子宫动脉彩色多普勒超声及超声弹性成像检查,分析上述EMS影像学特点,比较两组子宫动脉血流参数[舒张末期流速(EDV)、收缩期峰值流速(PSV)、搏动指数(PI)、阻力指数(RI)]及超声弹性成像参数[剪切波速度(SWV)、弹性模量平均值(Emean)、最小弹性模量值(Emin)及最大弹性模量值(Emax)],分析上述参数对EMS的诊断价值。结果:观察组EDV及PSV均低于对照组,PI及RI均高于对照组,SWV、Emean、Emin及Emax均高于对照组(均P<0.05);EMS病灶多呈不规则形态(89.3%),且多分布至筋膜或腹部全层(86.4%),病灶内少量血流信号(57.3%),多呈低回声状态(81.6%),回声多为不均匀(76.7%),病灶边界多为不清晰(74.8%)。子宫动脉多普勒参数及超声弹性成像参数预测EMS的效能均较好,其中RI的预测效能最高,截断值>0.82时预测EMS的Youden指数为0.734,曲线下面积0.921,敏感度92.2%,特异度76.8%。结论:EMS病灶多呈不规则形态,且多分布至筋膜或腹部全层,病灶内少量血流信号,多呈低回声状态,回声多为不均匀,病灶边界多为不清晰。子宫动脉彩色多普勒超声及超声弹性成像参数均可作为预测EMS的有效指标。Objective:To analyze the diagnostic value of uterine artery color Doppler ultrasound combined with ultrasound elastography for endometriosis(EMS)of patients.Methods:The clinical data of 103 patients with EMS who were treated in hospital were collected in observation group,and 56 women without EMS confirmed by ultrasound examination were collected in control group from July 2018 to December 2023.All the patients in the two groups received uterine artery color Doppler ultrasound and ultrasound elastography,and the imaging characteristics of the EMS examined by uterine artery color Doppler ultrasound and ultrasound elastography of the patients were analyzed.The values of the uterine artery blood flow parameters,such as end-diastolic velocity(EDV),peak systolic velocity(PSV),pulsatility index(PI)and resistance index(RI),and the values of the ultrasound elastography parameters,such as shear wave velocity(SWV),mean elastic modulus(Emean),minimum elastic modulus(Emin)and maximum elastic modulus(Emax)of the patients were compared between the two groups,and the diagnostic values of the all above parameters for EMS of the patients were analyzed.Results:The values of EDV and PSV of the patients in the observation group were significantly lower than those of the patients in the control group,and the values of PI,RI,SWV,Emean,Emin and Emax of the patients in the observation group were significantly higher than those of the patients in the control group(all P<0.05).The EMS lesions were most(89.3%)irregular in shape,and 86.4%EMS lesions of which distributed to the fascia or the full layer of the abdomen,57.3%EMS lesions had small amount of blood flow signal in the lesion,81.6%EMS lesions was hypoechoic,76.7%EMS lesions was the uneven echo and 74.8%EMS lesions had the unclear lesion boundary.The values of uterine artery Doppler parameters and the ultrasound elastography parameters of the patients for predicting their EMS had good efficacy,and among them,the RI value had the highest predictive efficiency.When the cut-off value of

关 键 词：子宫内膜异位症 子宫动脉彩色多普勒超声 超声弹性成像 病灶超声特征 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.71[医药卫生—诊断学]