[1]沈培璞.经阴道超声多模态成像对子宫颈病变的临床诊断价值[J].徐州医科大学学报,2020,40(09):673-675.
 The value of transvaginal ultrasound multimodal imaging in the diagnosis of cervical lesions[J].Journal of Xuzhou Medical University,2020,40(09):673-675.
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经阴道超声多模态成像对子宫颈病变的临床诊断价值()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年09期
页码:
673-675
栏目:
出版日期:
2020-09-25

文章信息/Info

Title:
The value of transvaginal ultrasound multimodal imaging in the diagnosis of cervical lesions
作者:
沈培璞
文献标志码:
A
摘要:
摘要:目的 联合经阴道二维超声、彩色多普勒血流频谱技术及实时剪切波弹性成像(SWE)比较正常子宫颈、子宫颈良性病变及子宫颈癌的灰阶二维图像、彩色血流显像、频谱参数及杨氏模量值,探讨其对于子宫颈病变的临床诊断价值。方法 选取40例正常宫颈纳入正常宫颈组,将30例经手术病理证实为宫颈息肉、宫颈肌瘤及宫颈上皮內瘤变的患者纳入子宫颈良性肿瘤组,将32例经手术病理证实为子宫颈癌的患者纳入子宫颈恶性肿瘤组。三组研究对象均进行经阴道超声检查,观察其二维图像、彩色血流显像并进行多普勒频谱测量、杨氏模量值测量,比较三组子宫颈的杨氏模量值及频谱测值差异。结果 正常子宫颈组回声均匀,未见或有少许点状血流,RI>0.55。宫颈良性组宫颈组回声均匀或不均匀,有少许点状血流,RI>0.55。宫颈恶性组回声不均匀,血流丰富,血流信号多为低阻力,RI<0.55。三组感兴趣区(ROI)杨氏模量平均值比较,子宫颈恶性组(123.28±23.98kPa)均大于子宫颈良性组(56.12±9.34 kPa)和正常组(38.78±7.98 kPa),差异有统计学意义(P<0.05),子宫颈良性组与子宫颈正常组,差异无统计学意义(P>0.05)。结论 经阴道联合二维超声、彩色多普勒血流频谱技术及SWE多模态检查可以鉴别宫颈良性及恶性病变,对宫颈癌有较高的临床诊断价值。
Abstract:
Abstract:ob<x>jective To compare the two-dimensional images, color flow imaging and Young’’s modulus of normal cervix, cervical benign lesions and cervical cancer by transvaginal two-dimensional ultrasound, color Doppler flow spectrum and shear wave elastography ((SWE)), and to explore their clinical value in the diagnosis of cervical lesions. Methods 40 cases of normal cervix were included in the normal cervix group, and 30 cases of cervical polyps, cervical myomas and cervical intraepithelial neoplasia confirmed by operation and pathology were included in the benign tumor group. 32 patients with cervical cancer confirmed by operation and pathology were included in the cervical malignant tumor group. The three groups of subjects were examined by transvaginal ultrasound, and their two-dimensional images, color flow imaging, Doppler spectrum and Young’’s modulus were measured, and the differences of Young’’s modulus and frequency spectrum of the cervix of the three groups were compared. Results in the normal cervix group, the echo was uniform, and there was no or little punctate blood flow (RI > 0.55). In the benign cervical group, the echo was uniform or uneven, with a little punctate blood flow (RI > 0.55). In the cervical malignant group, the echo was uneven, the blood flow was abundant, and the blood flow signal was mostly low resistance (RI < 0.55). Compared with the average value of Young’’s modulus of (ROI) in the region of interest of the three groups, the mean Young’’s modulus of cervical malignant group (123.28±23.98kPa) was significantly higher than that of cervical benign group (56.12±15.34kPa) and normal group (38.78±9.98kPa)(P < 0.05).There was no significant difference between cervical benign group and normal group (P > 0.05). Conclusion Transvaginal combined with two-dimensional ultrasound, color Doppler flow spectrum and SWE multimodal examination can distinguish benign and malignant cervical lesions and have high clinical value in the diagnosis of cervical cancer.
更新日期/Last Update: 2020-10-12