|
|
|
| Value of abdominal ultrasound combined with contrast-enhanced ultrasound for distinguish of uterine fibroids and adenomyosis |
| 1. Nanyang Oilfield General Hospital, Henan Province, 473132; 2. Nanyang Central Hospital, Henan Province |
|
|
|
Abstract To explore the value of abdominal ultrasound combined with contrast-enhanced ultrasound for distinguish of uterine fibroids (UF) and adenomyosis of women. Methods: 80 women with uterine focal lesions were selected and were divided 47 women with UF in group A and 33 women with adenomyosis in group B from March 2018 to March 2020. Another 30 normal women were selected in group C during the same period. The values of blood flow velocity (Vs), resistance index (RI), and pulsatile index (PI) of ultrasonic contrast-enhanced quantitative parameters, and the values of start increase time (AT), time to peak (TTP), and peak intensity maxmum (IMAX) of ultrasound contrast quantitative parameters of the women were measured and compared among the three groups. Results: There were no significant differences in the values of Vs and PI of the women among the three groups (P＞0.05). The value of RI of the women in group A was significantly lower than that of the women in group B, and which of the women in group B was significantly lower than that of the women in group C (P＜0.05). The values of AT and TTP of the women in group A were significantly higher than those of the women in group C. The values of TTP and IMAX of the women in group B were significantly lower than those of the women in group C. The values of AT, TTP, and IMAX of the women in group A were significantly higher than those of the women in group B (all P＜0.05). ROC curve showed that the values of RI, AT, TTP, and IMAXI had certain diagnostic value for UF, and which AUC were 0.867, 0.823, 0.804, and 0.764, respectively. The AUC and the sensitivity of abdominal ultrasound combined with contrast-enhanced ultrasound for diagnosing UF were 0.980 and 0.967, which were significantly higher than those of ultrasound or contrast-enhanced ultrasound alone. The values of RI, TTP, and IMAXI had certain diagnostic value for adenomyosis, and which AUC were 0.850, 0.792, and 0.887, respectively. The AUC and the sensitivity of abdominal
ultrasound combined with contrast-enhanced ultrasound for diagnosing adenomyosis were 0.910 and 0.900, which were significantly higher than those of ultrasound or contrast-enhanced ultrasound alone. Conclusion: Ultrasound and contrast-enhanced ultrasound can distinguish of UF and adenomyosis of women, but combined the ultrasound and contrast-enhanced ultrasound has higher diagnostic efficiency.
|
|
|
|
|
|
|
|
|
