摘要
目的探究常规超声与超声弹性成像在宫颈良恶性占位性病变的影像特点及临床价值。方法选择我院接受的100例宫颈占位性病例,选择同期20例健康女性。分别使用常规超声和超声弹性成像对宫颈进行检查。比较影像学特点、灵敏度、特异性、准确性等。结果恶性病变55例,包括宫颈腺癌20例、宫颈鳞癌35例;良性病变45例,包括宫颈肌瘤26例、宫颈息肉19例。宫颈良性占位性病变和恶性占位性病变的常规超声和超声弹性成像的影像特点不同。良性占位性病变以1~3分为主,占97.78%;恶性占位性病变以4~5分为主,占90.91%。超声弹性成像评分的各分值占比均在良性病变和恶性病变之间有显著性差异(P<0.05)。联合使用常规超声和超声弹性成像检查的灵敏度、特异性以及准确性均显著的高于单独使用常规超声和超声弹性成像(P<0.05)。结论超声诊断宫颈良恶性占位性病变时,超声弹性成像和常规超声有不同的影像特点,联合使用可以收到更高的临床价值。
Objective To explore the imaging features and clinical value of conventional ultrasound and ultrasonic elastography on benign and malignant cervical space occupying lesions. Methods 100 cases of cervical space occupying lesions were selcted from February 2015 to January 2017 in our hospital and 20 healthy women were selected at the same time. The cervix were examined by conventional ultrasound and ultrasonic elastography. The imaging features,sensitivity,specificity and accuracy were compared. Results The space occupying lesions were malignant in 55 cases,including 20 cases of cervical adenocarcinoma,35 cases of cervical phosphorus cancer,and in 45 cases of benign lesions,including 26 cases of cervical fibroids,and 19 cases of cervical polyps. The characteristics of conventional and ultrasonic elastography were different in benign and malignant cervical space occupying lesions. Benign lesions were mainly 1 - 3,accounting for 97. 78%; malignant lesions were mainly 4 - 5,accounting for 90. 91%. The scores of ultrasonic elastography scores were significantly different between benign lesions and malignant lesions（ P〈0. 05）. The sensitivity,specificity,and accuracy of combined use of conventional ultrasound and ultrasound elastography were significantly higher than those using conventional ultrasound and ultrasound elastography alone（ P〈0. 05）.Conclusion With respect to the diagnosis of benign and malignant cervical lesions,ultrasound elastography and conventional ultrasound have different imaging characteristics. Combined conventional ultrasound and ultrasonic elastography can achieve higher clinical value.
出处
《医学影像学杂志》
2017年第10期1970-1973,共4页
Journal of Medical Imaging
关键词
超声检查
超声弹性成像
宫颈占位性病变
良性
恶性
Conventional ultrasound
Ultrasonic elastography
Cervical occupying lesions
benign
Malignant
作者简介
郗玲玲（1974-），女，山东阳谷人，本科学历，主治医师，主要从事腹部超声及浅表器官诊断工作
