| Abstract:Objective Using real-time ultrasound elastic imaging technique to score patients with uterine fibroids, and The ROC analysis of the diagnosis of uterine myoma degeneration was studied and analyzed, so as to explore a technique of real-time ultrasound elasticity imaging diagnostic value for denatured uterine fibroids. Methods Selected from April 2014 to June 2016 hospitalized patients with uterine fibroids treated during the period of 85 cases (118 lesions), Using real-time ultrasonic elastic imaging technique to score, postoperative pathological examination was performed to confirm whether the uterine myoma degeneration occurs, the pathological results were compared with Elastic imaging score. Finally, the ROC curve was drawn to analyze its diagnostic value. Results There were 20 patients diagnosed with transsexual uterine fibroids, accounting for 16.95%, with 14 of the ultrasonic elastic images scored from 2 to 3 points, and 70.0% of them. There were 98 non-transgendered uterine fibroids, accounting for 83.05% of the total. Among them, the ultrasonically elastic images were scored in 92, accounting for 93.9% of the total. The determination of the undenatured of uterine fibroids was performed on the basis of the elastic image score=4, its accuracy is 92.2%, specificity of 68.7%, the sensitivity was 96.2%, the positive and negative predictive value of 94.1% and 76.3% respectively. The judgment of uterine fibroid degeneration was carried out as standard by the elastic image score of less than 3, its accuracy is 92.2%, specificity of 96.2%, the sensitivity was 68.7%, the positive and negative predictive value of 76.3% and 94.1% respectively. Conclusion Real-time ultrasonic elastography is an effective and feasible new ultrasonic diagnostic technique for diagnosing uterine fibroid degeneration in clinic, and through the ROC curve analysis, it is suggested that the elastic imaging technique has positive value for the identification of transsexual uterine fibroids and non-transgendered uterine fibroids. |
