对比超声和磁共振成像诊断子宫内膜异位症中的临床价值研究  

The Clinical Value of Comparative Ultrasound and Magnetic Resonance Imaging in the Diagnosis of Endometriosis

作　　者：黄素珍 陈燕萍 倪志翔 HUANG Su-zhen;CHEN Yan-ping;NI Zhi-xiang(The Third People’s Hospital Affiliated to Fujian University of Chinese Medicine,Fujian Fuzhou 350108)

机构地区：[1]福建中医药大学附属第三人民医院,福建福州350108

出　　处：《中国医疗器械信息》2024年第20期27-29,113,共4页China Medical Device Information

摘　　要：目的:对比超声和磁共振成像用于子宫内膜异位症诊断中的临床价值,旨在为临床提供参考。方法:选择2019年1月~2023年12月本院收治的15例子宫内膜异位症疑似患者为对象,这些患者被送至影像科以确定病变范围并明确病变位置,所有受试者均接受阴道超声检查以及常规MRI和弥散加权图像(DWI)的检查,计算两种检查的灵敏度、特异度及总诊断准确性及医疗成本费用。结果:阴道超声灵敏度为75.00%,MRI灵敏度为83.33%,MRI添加DWI后灵敏度为91.67%;阴道超声特异度为66.67%,MRI特异度为100.00%,MRI添加DWI后特异度为100.00%;阴道超声总诊断准确性为73.33%,MRI总诊断准确性为86.67%,MRI添加DWI后总诊断准确性为93.33%。两种检查结果显示:阴道超声检查中,有9例TP,1例FP,2例TN,3例FN;在常规MRI检查中,有10例TP,0例FP,3例TN,2例FN;而通过添加弥散加权图像(DWI)后,有11例TP,0例FP,3例TN,1例FN。同时,本次试验中MRI添加DWI后共计14700元,阴道彩超共计2145元,超声检查成本费用明显低于MRI,差异显著,具有统计学意义(P<0.05)。结论:MRI有助于子宫内膜异位症病变程度的确诊,尤其是在超声检查不确定的可疑肿块和深部浸润性病变,但是,超声检查也具有准确率,且超声检查费用更低,临床可选择性地使用二者。Objective:The clinical value of comparative ultrasound and magnetic resonance imaging in the diagnosis of endometriosis is designed to provide a clinical reference.Methods:15 cases of suspected endometriosis patients admitted to our hospital from January 2019 to December 2023 were selected as subjects.These patients were sent to the imaging department to determine the extent and location of the lesions.All subjects underwent vaginal ultrasonography,routine MRI and diffusion weighted image(DWI)examination.The sensitivity,specificity,total diagnostic accuracy and medical cost of the two tests were calculated.Results:The sensitivity of vaginal ultrasound was(75.00%),MRI sensitivity of(83.33%),the sensitivity of MRI DWI(91.67%);Vaginal ultrasound was specific for(66.67%),the MRI was specific for(100.00%),DWI(100.00%);The total diagnostic accuracy of the vaginal ultrasound was(73.33%),the total diagnostic accuracy of vaginal ultrasound was(73.33%),MRI total diagnostic accuracy was(86.67%),the total diagnostic accuracy after MRI addition of DWI was(93.33%).Two findings:9 TP,1 FP,2 TN,3 FN;10 TP,0 FP,3 TN,2 FN on routine MRI;11 TP,0 FP,3 TN and 1 FN after adding diffusion-weighted images(DWI).At the same time,in this trial,DWI was 14700 yuan after MRI,and vaginal color ultrasound was 2145 yuan.The cost of ultrasound examination was significantly lower than that of MRI,and the difference was significant P<0.05,which was statistically significant.Conclusion:MRI is helpful to the diagnosis of the degree of endometriosis lesions,especially in the suspicious mass and deep invasive lesions,however,ultrasound examination is also accurate,and the cost of ultrasound examination is lower,which can be selectively used both in clinical practice.

关 键 词：超声 磁共振成像 子宫内膜异位症 临床价值 

分 类 号：R445[医药卫生—影像医学与核医学]