摘要
目的探讨三维能量多普勒超声(3D-CPA)定量分析对鉴别卵巢肿瘤良恶性的意义。方法选取108例(123个肿瘤)卵巢实性或囊实性肿瘤患者,均进行3D-CPA检查,测定肿瘤的血管指数(VI)、血流指数(FI)、血管-血流指数(VFI),并进行血管分型,与术后病理结果对照。结果卵巢恶性肿瘤的VI(0.043±0.019)、FI(0.650±0.230)、VFI(0.021±0.016)均显著高于良性肿瘤的VI(0.011±0.006)、FI(0.180±0.086)、VFI(0.008±0.004),卵巢良恶性肿瘤上述指标比较差异均有统计学意义(P<0.05)。以VI≥0.04诊断卵巢恶性肿瘤的敏感度为90.3%,特异度为82.2%;以FI≥0.60诊断卵巢恶性肿瘤的敏感度为89.1%,特异度为80.5%;以VFI≥0.02诊断卵巢恶性肿瘤的敏感度为86.3%,特异度为82.9%。卵巢恶性肿瘤Ⅲ～Ⅳ型血管占90.0%,良性肿瘤Ⅰ～Ⅱ型血管占77.8%,卵巢良恶性肿瘤患者血管分型比较,差异有统计学意义(P<0.05)。结论 3D-CPA定量分析是诊断卵巢肿瘤良恶性的有效方法。
Objective To explore the values of quantitative three-dimensional power doppler sonography（3D-CPA） in differential diagnosis of benign and malignant ovarian tumors.Methods The vessels index（VI）,flow index（FI）,vascularization-flow index（VFI） and the type of vessels were detected by 3D-CPA in 108 patients（123 tumors） with ovarian tumors.The results were compared with postoperative pathological results.Results VI,FI,and VFI values in malignant tumors were significantly higher than in benign tumors（（0.043±0.019） vs（0.011±0.006）,（0.650±0.230）vs（0.180±0.086）,（0.021±0.016） vs（0.008±0.004）;P0.05）.The sensitivity and specificity of diagnosing malignant ovarian tumor by criteria of VI≥0.04,FI≥0.60,VFI≥0.02 were 90.3% and 82.2%,89.1% and 80.5%,86.3% and 82.9% respectively.Ⅲ~Ⅳ types of vessels accounted for 90.0% in malignant tumors,while I-II types of vessels accounted for 77.8% in benign tumors,with significant differences between the two groups（P0.05）.Conclusion Quantitative 3D-CPA can be effective in differentiating benign or malignant ovarian tumors.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第27期3174-3176,共3页
Chinese General Practice
基金
广西科技厅课题(2010GXNSFB013079)
广西卫生厅课题(桂卫Z2008080)
关键词
三维能量多普勒
卵巢肿瘤
诊断
鉴别
Three-dimensional power Doppler ultrasonography
Ovarian tumour
Diagnosis
differential
