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
梁翠珊 1姚亮凤 1桂丹 1吴红波 1崔运能1
作者信息
- 1. 佛山市妇幼保健院放射科,广东 佛山 528000
- 折叠
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.
Abstract
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 diagno-ses 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 signifi-cant factors and combined model was assessed and compared using receiver operating characteristic(ROC)curve.Results The inci-dence 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 diag-nosis 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Key words
deep infiltrating endometriosis/uterosacral ligaments/transvaginal ultrasound/magnetic resonance imaging引用本文复制引用
出版年
2025
NETL
NSTL
万方数据