【摘要】 目的研究分析超声弹性成像在诊断宫颈癌前病变与宫颈癌中的应用价值。方法选取2014年9月至2015年手术确诊并治疗的宫颈癌前病变与宫颈癌患者56例(观察组)和同期无宫颈癌前病变与宫颈癌健康者22例为研究对象(对照组)。在观察组手术治疗前借助超声弹性成像对宫颈病灶进行检查,将弹性分级与术后分期进行对比。结果与对照组相比较,观察组患者超声弹性成像的内容并不一致,在弹性分级1~3级检出率中,宫颈癌前病变要高于宫颈癌,而弹性分级4~5级的检出率,宫颈癌要显著高于宫颈癌前病变,数据符合统计学差异(P<0.05);在弹性分级不超过4级的诊断中,宫颈癌的弹性分级诊断准确29例,准确率为93.5%,宫颈癌前病变弹性分级诊断准确18例,准确率为72%,数据符合统计学差异(P<0.05);超声弹性诊断宫颈癌前病变与宫颈癌准确率为83.9%。结论临床诊断宫颈癌前病变与宫颈癌的时候,超声弹性成像技术具有较高的应用价值,可在临床上推广应用。更多还原

【Abstract】 Objective To study the value of ultrasound imaging in the diagnosis of cervical precancerous lesions and cervical cancer. Methods In September 2014 to 2015 surgical diagnosis and treatment of cervical cancer, precancerous lesions and cervical cancer patients of 56 cases(observation group) and compared with no health cervical cancer, precancerous lesions and cervical cancer 22 cases as the object of study(control group) were selected. The cervical lesions were examined by ultrasound before surgery in the observation group, and the elastic grading was compared with the postoperative stage. Results Compared with control group, the observation group of patients with ultrasound elasticity imaging is not consistent in graded 1-3 level detection rate in cervical precancerous lesion is higher than that of cervical cancer, and elastic grade 4-5 grade the detection rate of cervical cancer was significantly higher than cervical precancerous lesions, the data accord with significant difference(P<0.05); in the elastic stage is not more than 4 level diagnosis of cervical cancer classification accurate diagnosis in 29 cases, the accurate rate was 93.5%, cervical cancer precancerous lesion classification accurate diagnosis in 18 cases, the accurate rate was 72%, the data are consistent with statistical difference(P<0.05); ultrasonic diagnosis of cervical precancerous lesions and cervical cancer rate was 83.9%. Conclusion Clinical diagnosis of cervical precancerous lesions and cervical cancer, ultrasound imaging technology has a high value, can be used in clinical application.更多还原