摘要
目的:研究超声对眼部包块的诊断及临床应用价值。方法:选取2015年3月一-2019年2月我院进行诊治的眼部包块患者33例作为研究对象。对所有患者均进行超声诊断,并以手术后病理结果作为“金标准”,分析超声诊断眼部包块良恶性的敏感性、特异性、准确度。同时,比较超声与病理对各类良恶性眼部包块的检出率。结果:以手术后病理结果作为“金标准”,超声诊断眼部包块良恶性的敏感性、特异性、准确度分别为96.15%、85.71%.93.94%。其中,超声诊断海绵状血管瘤、多形性腺瘤、血管瘤、炎性假瘤、静脉性血管瘤的结果与手术后病理结果--致,差异无统计学意义(P均>0.05);超声诊断脉络膜黑色素瘤、基底细胞癌、泪囊筋膜纤维肉瘤、原淋巴细胞性淋巴瘤、眼睑鳞状细胞癌、眼睑恶性黑色素瘤的结果与手术后病理结果相同,但对腺样囊性癌的检出率为0.00%,差异无统计学意义(P均>0.05)。结论:超声对恶性、良性眼部包块具有较高的检出率,在鉴别眼部包块中具有较高的临床应用价值,值得推广应用。
Objective:To study and analyze the clinical diagnostic value of ultrasound in the differential diagnosis of ocular masses.Methods:From March 2015 to February 2019,33 patients with ocular mass were selected as the research objects.The sensitivity,specificity and accuracy of ultrasonography in the diagnosis of benign and malignant ocular masses were analyzed.At the same time,the detection rates of various benign and malignant ocular masses by ultrasound and pathology were compared.Results:The sensitivity,specificity and accuracy of ultrasound in the differential diagnosis of benign and malignant ocular masses in 33 cases were 96.15%,85.71%and 93.94%,respectively.The results of ultrasonographic diagnosis of cavernous hemangioma,pleomorphic adenoma,hemangioma,inflammatory pseudotumor and venous hemangioma were consistent with the results of surgical biopsy,and the differences were not statistically significant(all P>0.05).The results of ultrasonographic diagnosis of choroidal melanoma,basal cell carcinoma,dacryocyst fascia fibrosarcoma,primary lymphocytic lymphoma,eyelid squamous cell carcinoma and malignant melanoma of eyelid were the same as those of surgical biopsy,but the detection rate of adenoid cystic carcinoma was 0.00%,with no statistically significant difference(all P>0.05).Conclusion:Ultrasonography is of high clinical value in the differential diagnosis of ocular masses,and has a high detection rate for malignant and benign ocular masses,which is worthy of clinical application.
作者
储荣先
彭梅
CHU Rong-xian;PENG Mei(Department o f Ultrasound,the Second Affiliated Hospital o f Anhui Medical University,Hefei 230601,China)
出处
《中国临床医学影像杂志》
CAS
2020年第3期163-166,共4页
Journal of China Clinic Medical Imaging
关键词
眼肿瘤
超声检查
多普勒
彩色
Eye neoplasms
Ultrasonography
Doppler
color
