摘要
目的探讨超声弹性成像在宫颈良恶性占位性病变临床诊断中的应用价值。方法98例疑似宫颈占位性病变患者及20例健康体检者为研究对象。健康体检者仅进行超声弹性成像检查,疑似宫颈占位性病变患者进行超声弹性成像及病理检查。分析疑似宫颈占位性病变患者的病理结果;分析超声弹性成像的影像学特点;对比良恶性病变的超声弹性成像评分;将病理结果作为金标准,分析超声弹性成像的灵敏度、特异度、诊断符合率。结果98例疑似宫颈占位性病变患者均进行病理切片检查,最终结果显示:恶性54例,良性44例。良性病变的超声弹性成像评分优于恶性病变,差异具有统计学意义(P<0.05)。良性病变多为1~3分,恶性病变多为4~5分。将病理结果作为金标准,超声弹性成像的灵敏度为94.4%、特异度为84.1%,诊断符合率为89.8%。结论采用超声弹性成像诊断宫颈良恶性占位性病变,灵敏度、特异度高,值得临床应用。
Objective To discuss the practical value of ultrasound elastography in the clinical diagnosis of cervical benign and malignant space-occupying lesions.Methods There were 98 patients with suspected cervical space-occupying lesions and 20 healthy subjects as study subjects.Healthy subjects only underwent ultrasonic elastography,and patients suspected of cervical space occupying lesions underwent ultrasonic elastography and pathological examination.The pathological results of patients with suspected cervical spaceoccupying lesions and the imaging characteristics of ultrasonic elastography was analyzed.The ultrasonic elastography scores of benign and malignant lesions were compared.The pathological results were used as the gold standard to analyze the sensitivity,specificity and diagnostic coincidence rate of ultrasound elastography.Results All 98 patients with suspected cervical space-occupying lesions underwent pathological biopsy,and the final results showed that 54 cases were malignant and 44 cases were benign.The ultrasonic elastography score of benign lesions was better than that of malignant lesions,and the difference was statistically significant(P<0.05).Most benign lesions have a score of 1-3 points,and malignant lesions have a score of 4-5 points.Taking pathological results as the gold standard,the sensitivity of ultrasound elastography was 94.4%,the specificity was 84.1%,and the diagnostic coincidence rate was 89.8%.Conclusion Ultrasound elastography has high sensitivity and specificity in diagnosing cervical benign and malignant space-occupying lesions and is worthy of clinical application.
作者
付筱童
FU Xiao-tong(Functional Section,Fushun Hospital of Traditional Chinese Medicine,Fushun 113006,China)
出处
《中国现代药物应用》
2021年第2期34-36,共3页
Chinese Journal of Modern Drug Application
关键词
宫颈占位性病变
超声弹性成像
常规超声
Cervical space-occupying lesions
Ultrasound elastography
Conventional ultrasound
