首页|彩色多普勒超声联合弥散加权成像鉴别诊断子宫肌瘤和子宫肉瘤的价值

彩色多普勒超声联合弥散加权成像鉴别诊断子宫肌瘤和子宫肉瘤的价值

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目的:分析彩色多普勒超声联合弥散加权成像鉴别诊断子宫肌瘤和子宫肉瘤的价值.方法:选取太仓市中医医院 2019 年 1 月—2022 年 1 月收治的 102 例子宫肌瘤患者设为观察组,10 例子宫肉瘤患者设为对照组.两组均进行彩色多普勒超声检查和磁共振弥散加权成像.并采用受试者操作特征(ROC)曲线分析子宫动脉峰值流速(Vmax)、阻力指数(RI)联合表观弥散系数(ADC)值、扩散系数(D)值对子宫肌瘤和子宫肉瘤的鉴别价值.结果:观察组Vmax、RI均低于对照组,ADC值、D值均高于对照组(P<0.05);彩色多普勒超声(Vmax、RI)、弥散加权成像单一(ADC值、D值)及联合预测子宫肌瘤的AUC分别为 0.740、0.752、0.836、0.812、0.898.结论:子宫肌瘤患者Vmax、RI均升高,ADC值、D值均降低,彩色多普勒超声、弥散加权成像对子宫肌瘤和子宫肉瘤均具有一定的诊断价值,但两者联合对子宫肌瘤的诊断价值更高.
Value of Color Doppler Ultrasound Combined with Diffusion Weighted Imaging in the Differential Diagnosis of Hysteromyoma and Uterine Sarcoma
Objective:To analyze the value of value of color Doppler ultrasound combined with diffusion weighted imaging in the differential diagnosis of hysteromyoma and uterine sarcoma.Method:A total of 102 patients with hysteromyoma admitted to Taicang Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were selected as the observation group,and 10 patients with uterine sarcoma were selected as the control group.Both groups were examined by color Doppler ultrasonography and diffusion weighted imaging.The value of peak flow velocity(Vmax),resistance index(RI)of uterine artery combined with apparent diffusion coeffecient(ADC)value and diffusion coefficient(D)value in the differential diagnosis of hysteromyoma and uterine sarcoma were analyzed by receiver operating characteristic(ROC)curve.Result:Vmax and RI in observation group were lower than those in control group,ADC value and D value in observation group were higher than those in control group(P<0.05).The AUC of color Doppler ultrasound(Vmax,RI)and diffusion weighted imaging(ADC value,D value)of single and combined prediction of uterine sarcoma respectively was 0.740,0.752,0.836,0.812 and 0.898.Conclusion:Vmax and RI are both increased and ADC combined with D values were decreased in patients with hysteromyoma.Color Doppler ultrasound with diffusion weighted imaging have certain diagnostic value for hysteromyoma and uterine sarcoma,but the combination of them is more valuable for hysteromyoma.

HysteromyomaUterine sarcomaDiffusion weighted imagingColor Doppler ultrasound

池春霞、王伟钢、唐烨

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太仓市中医医院超声科 江苏 太仓 215400

太仓市中医医院放射科 江苏 太仓 215400

太仓市中医医院妇产科 江苏 太仓 215400

子宫肉瘤 子宫肌瘤 弥散加权成像 彩色多普勒超声

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(3)
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