摘要
目的 研究经阴道三维超声(3D-TVS)及自由解剖成像技术(Omniview)在黏膜下子宫肌瘤(UF)分型诊断中的临床价值。方法 选择92例疑为黏膜下UF患者,均进行2D-TVS、3D-TVS+Omniview检查。以最终病理结果作为金标准,计算2D-TVS及3D-TVS+Omniview诊断黏膜下UF结果与病理结果的一致性,以及2D-TVS及3D-TVS+Omniview诊断黏膜下UF分型的敏感度。结果 92例疑为黏膜下UF患者经病理结果证实黏膜下UF患者78例;2D-TVS诊断黏膜下UF结果与病理诊断结果一致性较为理想(Kappa=0.567,P=0.000);3D-TVS+Omniview诊断黏膜下UF结果与病理诊断结果一致性极好(Kappa=0.774,P=0.000)。3D-TVS+Omniview诊断Ⅱ型黏膜下UF敏感度(88.89%)高于2D-TVS(59.26%),差异有统计学意义(P<0.05);3D-TVS+Omniview与2D-TVS诊断0型、Ⅰ型黏膜下UF敏感度比较,差异无统计学意义(P>0.05)。结论 3D-TVS及Omniview诊断黏膜下UF与病理诊断结果的一致性极好,且在黏膜下UF分型诊断中敏感度高,临床可采用3D-TVS及Omniview对黏膜下UF进行诊断及分型,为患者术前评估及手术方案的制定提供参考。
Objective To investigate the clinical value of three-dimensional transvaginal ultrasound(3D-TVS) and free anatomic imaging(Omniview) in the diagnosis of submucosal uterine fibroids(UF).Methods 92 patients with suspected submucosal UF were selected.All 92 suspected submucosal UF patients were examined by 2D-TVS and 3D-TVS+Omniview.Final pathological results were used as the gold standard to calculate the consistency between the results of 2D-TVS and 3D-TVS+Omniview in the diagnosis of submucosal UF and pathological results,and the sensitivity of 2D-TVS and 3D-TVS+Omniview in the diagnosis of submucosal UF.Results Submucosal UF was confirmed by pathological results in 78 of 92 patients.The results of aubmucosal UF in 2D-TVS diagnosis were in good agreement with pathological diagnosis(Kappa=0.567,P=0.000).The UF result of 3D-TVS+Omniview diagnosis was in excellent agreement with pathological diagnosis(Kappa=0.774,P=0.000).The UF sensitivity of 3D-TVS+Omniview in the diagnosis of type Ⅱ submucosa(88.89%) was higher than that of 2D-TVS(59.26%),and the difference was statistically significant(P<0.05).There was no significant difference between 3D-TVS+Omniview and 2D-TVS in the diagnosis of submucosal UF sensitivity of type 0 and type Ⅰ(P>0.05).Conclusion 3D-TVS and Omniview have excellent consistency with pathological diagnosis of SUBmucosal UF,and have high sensitivity in submucosal UF typing.3D-TVS and Omniview can be used in clinical diagnosis and typing of submucosal UF,to provide reference for preoperative evaluation of patients and the formulation of surgical plan.
作者
王佳
WANG Jia(Zhengzhou Maternal and Child Health Hospital,Zhengzhou,450000)
出处
《实用癌症杂志》
2023年第8期1357-1360,共4页
The Practical Journal of Cancer
关键词
黏膜下子宫肌瘤
分型诊断
经阴道三维超声
自由解剖成像技术
经阴道二维超声
诊断效能
Submucosal uterine fibroids
Typing diagnosis
Three-dimensional transvaginal ultrasound
Free anatomica imaging technique
Two-dimensional transvaginal ultrasound
Diagnostic efficacy