影像科学与光化学2024，Vol.42Issue(4)：364-370,7.DOI:10.7517/issn.1674-0475.2024.04.10
基于超声成像技术鉴别子宫黏膜下肌瘤与非典型息肉样腺肌瘤
Differentiating Uterine Submucosal Fibroids from Atypical Polypoid Adenomyoma by Ultrasonography
叶青 1钱超 2吕竞1
作者信息
- 1. 华中科技大学医院超声影像科,湖北武汉 430030
- 2. 武汉市妇女儿童医疗保健中心超声影像科,湖北武汉 430015
- 折叠
摘要
Abstract
Objective:To explore the differential diagnosis of submucosal fibroids and atypical polypoid adenomyomas based on clinical features and ultrasound imaging,in order to reduce the occurrence of misdiagnosis.Methods:The imaging data of 85 patients with submucosal fibroids and 68 patients with atypical polypoid adenomyoma who underwent routine ultrasound examination and were pathologically confirmed in our hospital from September 2021 to March 2023 were retrospectively analyzed.The baseline data were matched by propensity matching method,and the Rad score values of the two groups of patients were calculated and analyzed by Wilcoxon test.Results:Before and after propensity matching,there was statistical significance in isoechoic,single-vessel pattern and annular vessel pattern between the two groups(P＜0.05).Taking pathological examination as the"gold standard",78 cases of uterine submucosal fibroids were detected by ultrasound,the coincidence rate was 91.76％.There were 62 cases with atypical polypoid adenomyoma,the coincidence rate was 91.18％.The comparison of misdiagnosis was statistically significant(P＜0.05).The mean Rad score of uterine submucosal myoma and atypical polypoid adenomyoma were 5.231 and 4.628,respectively(P＜0.05).Conclusion:Ultrasound imaging technology can effectively differentiate uterine submucosal fibroids from atypical polypoid adenomyomas,among which equal-echo,single-vessel pattern,annular vessel pattern and fibroid volume are more effective.关键词
临床特征/超声成像/子宫黏膜下肌瘤/非典型息肉样腺肌瘤Key words
clinical features/ultrasound imaging/uterine submucosal fibroids/atypical polypoid adenomyoma分类
医药卫生引用本文复制引用
叶青,钱超,吕竞..基于超声成像技术鉴别子宫黏膜下肌瘤与非典型息肉样腺肌瘤[J].影像科学与光化学,2024,42(4):364-370,7.
