子宫内膜-肌层交界区超声参数诊断子宫腺肌病的价值

Value of ultrasound parameters in the endometrium-myometrium junction in the diagnosis of adenomyosis

目的探讨子宫内膜-肌层交界区(EMI)超声参数诊断子宫腺肌病(AD)的价值。方法选取2022年4月至2023年7月青岛市黄岛区第五人民医院收治的56例AD患者作为研究组,另选取同时期接受健康体检的56例女性作为对照组,两组均接受三维超声检查。比较两组EMI超声各参数,分析EMI超声参数的诊断价值。结果研究组EMI形态异常比例较对照组更高(P<0.05),EMI平均厚度、容积较对照组更大(P<0.05),EMI血管化血流指数、EMI血流指数、EMI血管化指数、内膜血流指数较对照组更小(P<0.05)。多因素logistic回归分析显示,EMI形态异常、EMI平均厚度是AD的独立危险因素(P<0.05);受试者工作特征曲线显示,EMI形态、EMI平均厚度、联合诊断的曲线下面积分别为0.672、0.739、0.825。结论EMI超声参数(EMI形态、平均厚度)对AD具有一定的诊断价值,值得推广。

Objective To explore the value of ultrasound parameters in the endometrium-myometrium junction(EMI)in the diagnosis of adenomyosis(AD).Methods A total of 56 patients with AD in Huangdao District Fifth People’s Hospital of Qingdao from April 2022 to July 2023 were selected as the study group,and 56 women who underwent health examinations during the same period were selected as the control group.Both groups received three-dimensional ultrasound examination.The EMI ultrasonic parameters of the two groups were compared,and the diagnostic value of EMI ultrasonic parameters was analyzed.Results The proportion of EMI morphological abnormalities in the study group was higher than that in the control group(P<0.05),the average EMI thickness and volume were larger than those in the control group(P<0.05),the EMI vascularization flow index,EMI flow index,EMI vascularization index,and endometrial flow index were smaller than those in the control group(P<0.05).Multivariate logistic regression analysis showed that abnormal EMI morphology and average EMI thickness were independent risk factors for AD(P<0.05).The receiver operating characteristic curve showed that area under the curve of the EMI morphology,EMI average thickness,and combined diagnosis was 0.672,0.739,and 0.825,respectively.Conclusion EMI ultrasound parameters(EMI morphology and average thickness)have certain diagnostic value for AD and are worth popularizing.