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
收稿日期: 2025-09-03
网络出版日期: 2026-01-14
基金资助
江苏省科技计划项目(BE2023618)
Clinical application value of combined detection of uterine artery hemodynamic parameters and elastography score in uterine fibroid degeneration
Received date: 2025-09-03
Online published: 2026-01-14
目的 探究子宫动脉血流动力学指标及弹性成像评分在子宫肌瘤变性中的临床应用价值。 方法 选取2022年6月至2024年6月在中国人民解放军东部战区总医院秦淮医疗区妇产科住院治疗且经病理证实的子宫肌瘤患者158例作为研究组的研究对象，另选同期健康体检女性150名作为健康对照组。研究组患者根据子宫肌瘤有无发生变性分为变性组和非变性组。采用超声观察子宫肌瘤患者的子宫动脉血流变情况，并应用应力式弹性成像对患者的病灶进行弹性成像评分，同时比较两组患者的各参数情况，绘制ROC曲线评估弹性成像评分、子宫动脉血流动力学参数对子宫肌瘤变性的诊断价值。 结果 研究组患者的子宫动脉血流动力学参数宫阻力指数（RI）、动脉搏动指数（PI）、舒张期最小血流速度（Vmin）、舒张末期流速（EDV）、收缩期峰值流速（PSV）及弹性成像评分与健康对照组受试者比较，差异有统计学意义（P < 0.05）；变性组患者的子宫动脉血流动力学参数PI、Vmin、PSV及弹性成像评分与非变性组患者比较，差异有统计学意义（P < 0.05）；PI、Vmin、PSV、弹性成像评分指标为子宫肌瘤变性的诊断指标（P < 0.05）；PI、Vmin、PSV、弹性成像评分的AUC分别为0.714、0.690、0.660、0.669，上述指标联合诊断的AUC值为0.832。 结论 子宫动脉血流动力学参数PI、Vmin、PSV、弹性成像评分对子宫肌瘤变性具有较高的诊断价值，联合诊断价值更高。
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 . DOI: 10.3969/j.issn.1006-5725.2026.01.004
Objective Exploring the Clinical Application Value of Uterine Artery Hemodynamic Parameters 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 degeneration 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 elastography scores have high diagnostic value for uterine fibroid degeneration， with the combined diagnostic value being even higher.
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