摘要
为观察经直肠腔内超声与经会阴高频超声诊断痔的临床价值,将120例痔疑似患者作为研究对象,均采用彩色多普勒超声行经直肠腔内超声与经会阴高频超声扫描并给出诊断结果;以肛门视诊、影像学检查、指诊等综合诊断结果或术后病理结果作为标准计算经会阴、经直肠超声的诊断灵敏度、特异度;建立接受者操作特征(ROC)曲线分析两种超声扫描方式对痔的诊断价值。结果显示,120例初筛疑似者中经会阴高频超声检出痔66例,经直肠腔内超声检出痔74例,后期证实痔71例;经会阴高频超声诊断痔的灵敏度为81.69%(58/71)、特异度为83.67%(41/49),经直肠腔内超声诊断痔的灵敏度为94.37%(67/71)、特异度为85.71%(42/49),经直肠腔内超声诊断灵敏度高于经会阴高频超声诊断灵敏度(P<0.05)。ROC曲线显示,经会阴高频超声诊断痔的ROC曲线下面积(AUC)为0.825,经直肠腔内超声诊断痔疮的AUC为0.908,经直肠腔内超声诊断效能大于经会阴高频超声。结果表明,两种超声扫描方式对痔均具有较高的诊断准确率,但经直肠腔内超声诊断效能大于经会阴高频超声。
This study was to investigate the application value of perineal high-frequency ultrasound(PHFU)and endorectal ultrasonography(ERUS)indiagnosing hemorrhoids,enrolled 120 patients with suspected hemorrhoids into this research:they received inspections of PHFU and ERUS,then,from above inspections’ results to estimate both inspections’ sensitivity and specificity by using anal ocular diagnosis,image inspection,and touch,etc results,or postoperative pathological exam.results as the standard;through ROC to analyse both inspections’ value in diagnosing hemorrhoids.As results,among the 120 cases,66 were inspected out as hemorrhoids by using PHFU,meanwhile,74,by using ERUS who were confirmed in 71 cases,thus PHFU’and ERUS’sensitivity and specificity respectively were:81.69%(58/71)and83.67%(41/49);94.37%(67/71)and 85.71%(42/49),showed ERUS’sensitivity was higher than PHFU’one(P<0.05).ROC analysis showed PHFU’AUC was 0.825,while ERUS’AUC was 0.908,i.e,the diagnostic efficacy of ERUS was larger than that of PHFU.Results show that both inspections have all higher diagnostic accuracy,merely,ERUS is more than PHFU.
作者
张雨
ZHANG Yu(Ultrasound Dept.,Weishi Countys Peoples Hospital,Kaifeng,Henan 475500)
出处
《中国肛肠病杂志》
2021年第7期26-28,共3页
Chinese Journal of Coloproctology
关键词
痔
彩色多普勒超声
经会阴高频超声
经直肠超声
诊断
Hemorrhoid
Color Doppler ultrasound
Perineal high-frequency ultrasound
Endorectal ultrasonography
Diagnosis
