影像研究与医学应用2024,Vol.8Issue(5) :49-51.

超声弹性成像在卵巢囊肿诊断中的应用价值及超声指标分析

The application value of ultrasound elastography in the diagnosis of ovarian cysts and analysis of ultrasound indicators

刘素慧
影像研究与医学应用2024,Vol.8Issue(5) :49-51.

超声弹性成像在卵巢囊肿诊断中的应用价值及超声指标分析

The application value of ultrasound elastography in the diagnosis of ovarian cysts and analysis of ultrasound indicators

刘素慧1
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作者信息

  • 1. 菏泽市牡丹区精神病医院超声医学科 山东 菏泽 274000
  • 折叠

摘要

目的:分析超声弹性成像(UE)诊断卵巢囊肿的价值.方法:选取 2022 年 1 月—2023 年 10 月菏泽市牡丹区精神病医院收治的 80 例疑似卵巢囊肿患者,均接受UE检查,以病理检查结果为"金标准",分析UE的诊断价值.结果:80 例疑似卵巢囊肿患者中,病理确诊 58 例,UE共检出 56 例;UE诊断卵巢囊肿的灵敏度为 94.83%、特异度为 95.45%、准确率为 95.00%、阳性预测值为 98.21%、阴性预测值为87.50%;Kappa检验显示:UE与"金标准"的一致性极好(Kappa值=0.878,P<0.05);卵巢囊肿患者的剪切波速度(SWV)、最大弹性模量值(Emax)、最小弹性模量值(Emin)、平均弹性模量值(Emean)均低于非卵巢囊肿患者(P<0.05);卵巢囊肿与非卵巢囊肿患者的病灶深度及病灶直径差异无统计学意义(P>0.05).结论:UE可有效诊断出卵巢囊肿,诊断灵敏度、特异度、准确率等均处在较高水平,具有一定的诊断价值,临床可推广应用.

Abstract

Objective To analyze the value of ultrasound elastography(UE)in diagnosing ovarian cysts.Methods A total of 80 patients with suspected ovarian cysts admitted to the Mudan District Psychiatric Hospital in Heze City from January 2022 to October 2023 were selected and all of them underwent UE examination.The diagnostic value of UE was analyzed with pathological examination results as the"gold standard".Results Among the 80 suspected ovarian cysts,58 cases were confirmed by pathology and 56 cases were detected by UE.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of UE were 94.83%,95.45%,95.00%,98.21%and 87.50%respectively.Kappa test showed that UE was in good agreement with gold standard(Kappa value =0.878,P<0.05).The shear wave velocity(SWV),maximum modulus of elasticity(Emax),minimum modulus of elasticity(Emin)and average modulus of elasticity(Emean)in patients with ovarian cyst were lower than those in patients without ovarian cyst(P<0.05).There was no statistically significant difference in lesion depth and diameter between the patients with ovarian cyst and those without ovarian cyst(P>0.05).Conclusion UE can effectively diagnose ovarian cysts,with high diagnostic sensitivity,specificity,accuracy,etc.It has certain diagnostic value and can be widely applied in clinical practice.

关键词

卵巢囊肿/超声弹性成像/诊断效能

Key words

Ovarian cyst/Ultrasound elastography/Diagnostic efficacy

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出版年

2024
影像研究与医学应用

影像研究与医学应用

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