超声弹性成像鉴别卵巢出血性囊肿与子宫内膜异位囊肿的可视化研究  

A visualization study of ultrasound elastography to differentiate ovarian hemorrhagic cysts from endometriotic cysts

作　　者：马多 谷宝峰 MA Duo;GU Baofeng(Department of Ultrasound Imaging,The Second Hospital of Xiamen Medical College,Xiamen,Fujian 361000,China)

机构地区：[1]厦门医学院附属第二医院超声影像科,福建厦门361000

出　　处：《影像研究与医学应用》2024年第19期21-23,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探究超声弹性成像(UE)对卵巢出血性囊肿与子宫内膜异位囊肿的鉴别价值。方法:选取厦门医学院附属第二医院2023年8月—2024年2月收治的87名卵巢囊肿患者,经手术病理及超声随访证实后分为卵巢子宫内膜异位囊肿组(n=50)和卵巢出血性囊肿组(n=37),对比两组患者的病变深度、病灶直径及超声弹性成像参数[弹性值标准差(SD)、弹性模量平均值(E_(mean))、最大值(E_(max))、最小值(E_(min))],绘制受试者工作特征(ROC)曲线,计算ROC曲线下面积(AUC),分析SD、E_(mean)、E_(max)、E_(min)对卵巢出血性囊肿、子宫内膜异位囊肿的鉴别价值。结果:卵巢子宫内膜异位囊肿组患者SD、E_(mean)、E_(max)、E_(min)均高于卵巢出血性囊肿,差异有统计学意义(P<0.05);经ROC曲线分析发现SD、E_(mean)、E_(max)、E_(min)的AUC值均>0.6,具有一定的鉴别价值。结论:UE在鉴别卵巢子宫内膜异位囊肿与卵巢出血性囊肿中具有较高的应用价值,可为疾病诊断提供更多信息,为临床针对性治疗提供参考。Objective To investigate the value of ultrasound elastography(UE)in differentiating ovarian hemorrhagic cysts from endometriotic cysts.Methods 87 patients with ovarian cysts admitted to the Second Hospital of Xiamen Medical College from August 2023 to February 2024 were selected and divided into the ovarian endometriotic cyst group(n=50)and the ovarian hemorrhagic cyst group(n=37)after surgical pathology and ultrasound follow-up confirmation,and the two groups were compared with each other in terms of the depth of the lesion,the diameter of the lesion,and the parameters of ultrasound elastography[standard deviation of elasticity value(SD),elasticmodulus mean(E_(mean)),maximum value(E_(max)),minimum value(E_(min))],plotted the Receiver Operating Characteristic(ROC)curve,and calculated the area under the ROC curve(AUC),and analyzed the discriminative value of SD,E_(mean),E_(max),and E_(min) for ovarian hemorrhagic cysts and endometriotic cysts.Results SD,E_(mean),E_(max),and E_(min) were significantly higher than those of ovarian hemorrhagic cysts in patients in the ovarian endometriotic cyst group(P<0.05).SD,E_(mean),E_(max),and E_(min) AUC values were found to be>0.6 by ROC curve analysis,which had certain discriminative value.Conclusion UE has high application value in identifying ovarian endometriotic cysts and ovarian hemorrhagic cysts,which can provide more information for the diagnosis of the disease,and provide reference for the development of clinical targeted treatment.

关 键 词：超声弹性成像 卵巢出血性囊肿 子宫内膜异位囊肿 

分 类 号：R445.1[医药卫生—影像医学与核医学]