经阴道超声弹性成像在宫颈占位性病变鉴别诊断中的价值

Value of Transvaginal Elastography in the Differential Diagnosis of Cervical Occupying Lesions

目的探讨经阴道超声弹性成像(TVES)在宫颈占位性病变鉴别诊断中的应用价值。方法选取我院2015年9月至2017年9月收治的46例宫颈占位性病变患者,所有患者均行TVES,对患者进行宫颈硬度半定量评分、病变性质判断,分析良恶性患者的弹性应变率比值(SRs),同时比较TVES检查结果与病理结果,分析其准确性。结果 TVES检查结果显示,46例患者中良性病变占45.65%(21例),恶性病变占54.35%(25例)。病理结果显示,良性病变占47.83%(22例),其中宫颈息肉7例,子宫黏膜下肌瘤1例,宫颈肌瘤14例;恶性病变占52.17%(24例),其中宫颈管上皮样滋养细胞肿瘤1例,腺癌6例,鳞癌17例。TVES检查的准确率为97.83%。TVES检查结果显示良性患者的SRs为1.61±0.33,显著低于恶性患者的(4.26±1.42),差异有统计学意义(P<0.05)。结论 TVES可帮助医生鉴别宫颈占位性病变的性质,准确率较高,具有重要的应用价值。

Objective To study the application value of transvaginal elastography（TVES） in the differential diagnosis of cervical occupying lesions. Methods 46 cases of patients with cervical occupying lesions admitted to our hospital from September 2015 to September 2017 were selected. All patients received TVES, semi quantitative evaluation of cervical hardness and judgement of disease nature. The strain ratios（SRs） of patients with benign and malignant lesions were analyzed. At the same time, the TVES results and pathological results were compared so as to analyze the accuracy. Results TVES results showed that the benign lesions accounted for 45.65%（21 cases）, and the malignant lesions accounted for 54.35%（25 cases）. Pathological results showed that the benign lesions accounted for 47.83%（22 cases）,including 7 cases of cervical polyps, 1 case of submucous myoma of uterus and 14 cases of cervical myoma, and the malignant lesions accounted for 52.17%（24 cases）, including 1 case of cervical epithelioid trophoblastic tumor, 6 cases of adenocarcinoma and 17 cases of squamous cell carcinoma. The accuracy of TVES was 97.83%. TVES results showed that the SRs of benign patients was 1.61 ± 0.33,significantly lower than 4.26 ± 1.42 of malignant patients（P 〈0.05）. Conclusions TVES can help doctors identify the nature of cervical occupying lesions, with higher accuracy, which has important application value.