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目的探究超声弹性成像组织弥散定量分析技术在诊断子宫腺肌瘤中的应用价值。方法将82例子宫腺肌瘤患者作为研究组,将45例健康女性作为对照组,使用常规超声和超声弹性成像技术对所有的研究对象进行检查,使用超声弹性成像组织弥散定量分析技术对研究组的11个弹性特征量进行检测并进行对比,以病理检测结果为黄金标准,对常规超声和弹性成像超声诊断子宫腺肌瘤进行评价。结果研究组和对照组弹性成像图像特点有显著性的差异;相较于常规超声,弹性成像超声诊断子宫腺肌瘤时敏感度较低,但阳性预测值、准确度和特异度较高;研究组的应变均值、对比度、均等性均显著性的大于对照组(P<0.05),蓝色区域所占百分比、复杂度、峰度、偏度、杂乱度、一致性、相关性均显著性地低于对照组(P<0.05),两组的标准偏差没有显著性的差异(P>0.05)。结论超声弹性成像组织弥散定量分析技术可以进一步的提高对子宫腺肌瘤的诊断效能。
Objective To investigate the value of tissue elastography quantitative elastography in the diagnosis of adenomyoma. Methods A total of 82 patients with adenomyosis were enrolled in this study. Forty-five healthy women were enrolled as the control group. All subjects were examined by conventional ultrasound and ultrasound elastography. Ultrasound elastography and tissue diffusion quantitative analysis Eleven elastic characteristics were detected and compared. The results of pathological examination were used as gold standard to evaluate the diagnostic value of routine ultrasound and elastography in the diagnosis of uterine adenomyoma. Results There were significant differences between the study group and the control group in the characteristics of elastography. Compared with conventional ultrasound, the sensitivity of elastography in the diagnosis of adenomyosis was lower, but the positive predictive value, accuracy and specificity were higher. The mean strain, contrast and homogeneity of the group were significantly higher than those of the control group (P <0.05). The percentage of blue area, complexity, kurtosis, skewness, disorder, consistency and correlation were significantly Lower than the control group (P <0.05), there was no significant difference between the two groups (P> 0.05). Conclusion Ultrasound elastography tissue diffusion quantitative analysis technology can further improve the diagnostic efficacy of adenomyosis.