| 彭建美,刘 波,朱 娜,于 娇,管湘平,付建莉.弹性超声成像特征与宫颈癌病理学特征的相关性研究[J].,2019,19(9):1719-1722 |
| 弹性超声成像特征与宫颈癌病理学特征的相关性研究 |
| Correlation of the Characteristics of Elastography with the Pathological Features of Cervical Cancer |
| 投稿时间：2018-08-06 修订日期：2018-08-31 |
| DOI：10.13241/j.cnki.pmb.2019.09.025 |
| 中文关键词: 弹性超声成像 宫颈癌 癌前病变 相关性 病理学特征 |
| 英文关键词: Elastography Cervical cancer Precancerous lesion Correlation Pathological features |
| 基金项目:陕西省重点研发计划项目（2017SF-146） |
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| 中文摘要: |
| 摘要 目的：探讨宫颈癌弹性超声成像特征与病理学特征的相关性。方法：选择2016年9月到2018年2月在我院接受治疗的50例宫颈癌(宫颈癌组)与190例癌前病变患者(癌前组)为研究对象，所有患者都给予彩色多普勒超声与弹性超声成像，记录超声特征；调查宫颈癌患者的病理学特征并进行相关性分析。结果：癌前组中超声血流分型Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型分别为160例、26例、4例与0例，宫颈癌组分别为0例、6例、20例、24例，两组超声血流分型分布比较差异有统计学意义(P<0.05)。癌前组中弹性超声成像评分1分、2分、3分、4分、5分分别为52例、100例、33例、7例、0例，宫颈癌组分别为0例、2例、6例、12例与30例，两组中弹性超声成像评分分布对比差异有统计学意义(P<0.05)。在宫颈癌患者中，随着淋巴结转移、分化程度降低、临床分期增加，弹性超声成像评分显著增加，差异有统计学意义(P<0.05)。弹性超声成像诊断191例癌前病变与49例宫颈癌，弹性超声成像鉴别诊断宫颈癌的敏感性为100.0%，特异性为98.0%。结论：弹性超声成像诊断与鉴别宫颈癌有很好的敏感性与特异性，与宫颈癌病理学特征有很好的相关性，可与彩色多普勒超声形成互补在临床上应用。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the correlation of elastography with the pathological features of cervical cancer. Methods: 50 cases of cervical cancer (cervical cancer group) and 190 precancerous lesions (precancerous group) were selected in our hospital from September 2016 to February 2018. All the patients were given color Doppler ultrasound and elastography, the characteristics of ultra- sound were recorded, the pathological features of cervical cancer patients were investigated. Results: 160 cases of Type I, 26 cases of type II, 4 cases of type III and were, found in the precancerous group, while 6 cases of Type II, 20 cases of type III, 24 cases of type Ⅳ were found in the cervical cancer group, respectively, there were significant differences in the distribution of ultrasonic blood flow be- tween two groups (P<0.05). Elastography score 1, 2, 3, 4 and 5 were found in 52, 100, 33, 7, 0 cases in the precancerous group and 0, 2, 6, 12, 30 cases in the cervical cancer group respectively, significant difference in the distribution of elastic ultrasonic imaging score was found between two grups (P<0.05). In patients with cervical cancer, with the metastasis of lymph node, the decrease of differentiation de- gree and the increase of clinical stage, the score of elastography was significantly increased (P<0.05). 191 cases of precancerous lesions and 49 cases of cervical cancer were diagnosed by elastography. The sensitivity and specificity of elastography in the differential diagno- sis of cervical cancer were 100% and 98% respectively. Conclusion: Elastography had good sensitivity and specificity in the diagnosis and identification of cervical cancer, it has a good correlation with the pathological features of cervical cancer and can be complemented with color Doppler ultrasound in the clinical application. |
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