The Value and Clinical Significance of Real-Time Ultrasound Elastography Quantitative Parameter Analysis in the Differential Diagnosis of Uterine Fibroids and Adenomyosis
Objective:To explore the value and significance of real-time ultrasound elastography quantitative parameters in the differential diagnosis of uterine fibroids and adenomyosis.Methods:69 patients with suspected uterine fibroids and 53 patients with suspected adenomyosis who visited our hospital from June 2022 to June 2023 were selected as the study subjects.All patients have complete clinical data,and the role of real-time ultrasound elastography technology in the differential diagnosis of uterine fibroids and adenomyosis is analyzed using surgical pathological results as the diagnostic gold standard.The clinical significance of elastic quantitative parameters in differential diagnosis is also analyzed.Results:Surgical pathology confirmed that out of 69 suspected patients with uterine fibroids,64 were diagnosed with uterine fibroids,and out of 53 suspected patients with adenomyosis,49 were diagnosed with adenomyosis.Using surgical pathology results as the diagnostic gold standard,preoperative real-time ultrasound elastography had a sensitivity of 93.75%,specificity of 80.00%,accuracy of 92.75%,and a sensitivity of 93.88%and specificity of 75.00%for the diagnosis of uterine adenomyosis,the accuracy was 92.45%;There was no significant difference in average age and lesion diameter between the two groups of patients(P>0.05),but the average SR value of patients with uterine fibroids was significantly higher than that of those with adenomyosis(P<0.05),and the difference was statistically significant.Conclusion:Real-time ultrasound elastography can quantitatively analyze the strain force ratio of uterine fibroids and adenomyosis,and it has high sensitivity and specificity as a basis for differential diagnosis between the two.In addition,real-time ultrasound elastography technology has low operational difficulty and convenient and fast examination.Therefore,it can be used as a new non-invasive differential diagnosis technology for uterine fibroids and adenomyosis,improving clinical diagnosis and differential diagnosis capabilities.
real-time ultrasound elastographyelastic parameter analysisuterine fibroidsadenomyosis of the uterusstrain force ratio