摘要
目的探讨超声弹性成像对宫颈癌前病变（CIN）和宫颈癌（CA）的诊断价值。方法选择2011年11月至2012年10月行手术治疗的63例宫颈癌前病变和宫颈癌患者，术前采用超声弹性成像技术对宫颈病灶进行检查，并通过弹性分级，与术后病理分期进行对比分析。探讨超声弹性成像对宫颈癌前病变和宫颈癌诊断准确率，另选20例无宫颈癌前病变和宫颈癌的健康自患者为对照组。结果宫颈癌前病变和宫颈癌患者的超声弹性成像内容与健康对照组不同，且术后病理结果与弹性分级相对照，以弹性分级≥4级诊断为宫颈癌，CA组的病灶弹性分级正确诊断34例（94．4％），CIN组病灶弹性分级正确诊断20例（74．1％），两组间的弹性分级检出率差异有统计学意义（χ^2=5．23，P〈0．05）。而CIN组弹性分级1～3级检出率较CA组高，但CA组弹性分级4—5级检出率比CIN组高，差异有统计学意义（P〈0．05）。超声弹性成像诊断宫颈癌前病变和宫颈癌的准确度为85．7％。结论超声弹性成像对宫颈癌前病变和宫颈癌诊断具有一定的价值，适合临床长期推广应用。
Objective To explore the value of ultrasonic elastography in diagnosis of cervical precancerous lesions and cervical cancer. Methods Select from November 2011 to October 2012 in our hospital 63 cases of surgical treatment of cervical precancerous lesions and cervical cancer patients, preoperative ultrasound elasticity imaging technology to check cervical lesions and flexible classification, and make a the pathological staging comparative analysis. To explore the diagnosis accuracy of ultrasound elastography for cervical precancerous lesions and cervical cancer. Results Cervical precancerous lesions and cervical cancer＇ s ultrasound elastography have different content with the control group, and according to the flexible hierarchical ≥ 4-level diagnostics for the CA, the CA group lesions flexible grading correct diagnosis 34 cases（94.4% ） ; the CIN group lesions flexible grading correct diagnosis in 20 cases（74. 1% ）. Elastic hierarchical detection rate differences between the two groups was statistically significant （ χ^2 = 5.23, P 〈 0. 05 ） , while the CIN group elasticity grading 1 to 3 detection rate than the CA group, but the CA group elasticity grading 4 - 5 high detection rates than the CIN group, the difference was statistically significant （P 〈 0. 05 ）. The accuracy of ultrasound elasticity imaging diagnosis of cervical precancerous lesions and cervical cancer was 85.7%. Conclusions Ultrasound elastography of cervical precancerous lesions and cervical cancer diagnosis has a certain value, the the suitable clinical long-term promotion and application.
出处
《中国肿瘤临床与康复》
2013年第10期1149-1151,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
超声弹性成像
宫颈癌前病变
宫颈肿瘤
诊断
Ultrasound elastography
Cervical precancerous lesions
Cervical neoplasms
Diagnosis
