实用医学杂志2026，Vol.42Issue(1)：29-36,8.DOI:10.3969/j.issn.1006-5725.2026.01.004
子宫动脉血流动力学指标联合弹性成像评分在诊断子宫肌瘤变性中的价值
Clinical application value of combined detection of uterine artery hemodynamic parameters and elastogra-phy score in uterine fibroid degeneration
摘要
Abstract
Objective Exploring the Clinical Application Value of Uterine Artery Hemodynamic Param-eters and Elastography Scores in Uterine Fibroid Degeneration.Methods A total of 158 patients with uterine fibroids,diagnosed by pathology and treated at our hospital from June 2022 to June 2024,were selected as the study group.Additionally,150 healthy women who underwent routine health check-ups during the same period were selected as the control group.The study group was further divided into degeneration and non-degeneration subgroups based on the presence or absence of degeneration.Ultrasound was used to observe the location,size,and hemodynamic changes in the uterine arteries of the fibroid patients,and strain elastography was used to assess the elasticity of the lesions.Comparison of various parameters between the two groups was conducted,and receiver operating characteristic(ROC)curves were drawn to evaluate the diagnostic value of uterine artery hemodynamic parameters and elastography scores in the diagnosis of fibroid degeneration.Results There were statistically significant differences(P<0.05)in the uterine artery hemodynamic parameters(RI,PI,Vmin,EDV,PSV)and elastography scores between the study group and the control group.Among the study group,the PI,Vmin,PSV,and elastography scores of the degeneration group were significantly different from those of the non-degeneration group(P<0.05).The PI,Vmin,PSV,and elastography scores were identified as diagnostic indicators for uterine fibroid degeneration(P<0.05).Using PI,Vmin,PSV,and elastography scores as test variables and the degenera-tion and non-degeneration groups as reference standards,ROC curves were drawn.The AUC values for PI,Vmin,PSV,and elastography scores were 0.714,0.690,0.660,and 0.669,respectively.The AUC for combined diagnosis of these indicators was 0.832.Conclusion Uterine artery hemodynamic parameters(PI,Vmin PSV)and elastogra-phy scores have high diagnostic value for uterine fibroid degeneration,with the combined diagnostic value being even higher.关键词
子宫肌瘤/肌瘤变性/动脉血流动力学参数/应力式弹性成像/弹性成像评分Key words
uterine fibroids/fibroid degeneration/arterial hemodynamic parameters/strain elastog-raphy/elastography scores分类
医药卫生引用本文复制引用
尹美霞,汤捷,赵静,杨斌..子宫动脉血流动力学指标联合弹性成像评分在诊断子宫肌瘤变性中的价值[J].实用医学杂志,2026,42(1):29-36,8.基金项目
江苏省科技计划项目(编号:BE2023618) （编号:BE2023618）
