目的:评估二维超声(2D-US)、三维超声VOCAL技术(3D-VOCAL)对子宫肌瘤体积(UMV)测量的精确性。方法:选取2022年10月～2023年4月于福建医科大学附属龙岩第一医院行子宫肌瘤外科手术治疗的患者45例，术前运用2D-US、3D-VOCAL对UMV进行测量，与手术切除后的实际肌瘤体积进行比较，评估两种超声技术测量UMV的准确性及重复性。结果:3D-VOCAL测量肌瘤体积的一致性(ICC=0。992)高于2D-US(ICC=0。976)，且3D-VOCAL在不同大小肌瘤中的ICC均高于2D-US(均P<0。001)。2D-US、3D-VOCAL、手术术后3组间UMV测值的体积在最大径<8 cm差异无统计学意义(P>0。05)，而3组间在最大径≥8 cm差异有统计学意义(P<0。05);进一步两两分析显示，在最大径≥8 cm UMV中，2D-US与手术术后的UMV测值差异有统计学意义(P<0。05)，3D-VOCAL与手术术后的UMV测值差异无统计学意义(P>0。05)。3D-VOCAL在不同观察者间及观察者内的一致性均优于2D-US。结论:3D-VOCAL对于术前UMV的测量优于2D-US，是一种简便、高效的可靠方法，为临床随访提供理论依据。
Three-dimensional ultrasound virtual organ computer-aided analysis technique:an accurate method for uterine myoma volume measurement
Objective To evaluate the accuracies of two-dimensional ultrasound(2D-US)and three-dimensional ultrasound virtual organ computer-aided analysis(3D-VOCAL)in measuring uterine myoma volume(UMV).Methods Forty-five patients who underwent surgical treatment for uterine myoma at Longyan First Hospital,Fujian Medical University from October 2022 to April 2023 were selected.Preoperative measurements of UMV were performed using 2D-US and 3D-VOCAL,and the measurement results were compared with the actual UMV after surgical resection to assess the accuracies and repeatabilities of the two ultrasound techniques in measuring UMV.Results The UMV measurement consistency of 3D-VOCAL(ICC=0.992)was higher than that of 2D-US(ICC=0.976),and the ICC values of 3D-VOCAL were higher than those of 2D-US in UM of different sizes(all P<0.001).Statistically significant differences among 2D-US,3D-VOCAL and postoperative measurement results was found in UM with a maximum diameter≥8 cm(P<0.05),but not in UMV and UM with a maximum diameter<8 cm(P>0.05),and the further analysis showed that in UM with a maximum diameter≥8 cm,the UMV measured by 2D-US differed from postoperative measurement results(P<0.05).The differences between 3D-VOCAL measurement results and postoperative measurement results were trivial(P>0.05).There were greater intra-and interobserver agreements by 3D-VOCAL than 2D-US in UMV measurement.Conclusion 3D-VOCAL which is superior to 2D-US in preoperative UMV measurement is a simple,efficient,and reliable method,and it can provide theoretical bases for clinical follow-up.
uterine myomathree-dimensional ultrasoundvirtual organ computer-aided analysis techniquetwo-dimensional ultrasoundmyoma volume
万方数据
维普
