临床影像联合模型对子宫骶韧带深部浸润型子宫内膜异位症的诊断价值  

The diagnostic value of combined clinical imaging model in deep infiltrating endometriosis of uterosacral ligaments

作　　者：梁翠珊 姚亮凤 桂丹 吴红波 崔运能[1] LIANG Cuishan;YAO Liangfeng;GUI Dan;WU Hongbo;CUI Yunneng(Department of Radiology,Foshan Women and Children Hospital,Foshan,Guangdong Province 528000,China)

机构地区：[1]佛山市妇幼保健院放射科,广东佛山528000

出　　处：《实用放射学杂志》2025年第1期63-66,共4页Journal of Practical Radiology

基　　金：佛山市自筹经费类科技创新项目(2220001004438)。

摘　　要：目的探讨临床影像联合模型对子宫骶韧带深部浸润型子宫内膜异位症(USL-DIE)的诊断价值。方法回顾102例DIE患者术前的临床症状、体征及经阴道超声(TVS)、MRI诊断并进行单因素分析,筛选显著变量纳入多因素logistic回归分析,构建临床影像联合模型。运用受试者工作特征(ROC)曲线评估并比较差异有统计学意义的因素及联合模型的诊断价值。结果USL触痛结节发生率、TVS及MRI对USL-DIE的检出率均高于其他DIE患者,差异均有统计学意义。TVS(P=0.021)与MRI(P<0.001)是诊断USL-DIE的独立因素。临床影像联合模型诊断USL-DIE的曲线下面积(AUC)(0.909)及特异度(0.929)最高。结论与临床或影像单独诊断相比,临床影像联合模型对USL-DIE的综合诊断价值更高。Objective To investigate the diagnostic value of combined clinical imaging model in deep infiltrating endometriosis of uterosacral ligaments(USL-DIE).Methods The preoperative clinical symptoms,signs,transvaginal ultrasound(TVS)and MRI diagnoses of 102 DIE patients were reviewed and subjected to univariate analysis,and the significant variables were screened and included in the multivariable logistic regression analysis to construct a combined clinical imaging model.The diagnostic value of statistically significant factors and combined model was assessed and compared using receiver operating characteristic(ROC)curve.Results The incidence of USL nodule with tenderness,the detection rates of TVS and MRI for USL-DIE were higher than those of other patients with DIE,and the differences were statistically significant.TVS(P=0.021)and MRI(P<0.001)were independent factors in the diagnosis of USL-DIE.The combined clinical imaging model had the highest area under the curve(AUC)(0.909)and specificity(0.929)for the diagnosis of USL-DIE.Conclusion The combined clinical imaging model has a higher value for the comprehensive diagnosis of USL-DIE compared with clinical or imaging diagnosis alone.

关 键 词：深部浸润型子宫内膜异位症 子宫骶韧带 经阴道超声 磁共振成像 

分 类 号：R711.71[医药卫生—妇产科学] R445.1[医药卫生—临床医学] R445.2