摘要
目的 探讨经腹超声联合经阴道超声对卵巢肿瘤良恶性及卵巢癌临床分期的早期诊断价值。方法选取95例卵巢肿瘤患者,术前均接受经腹超声检查和经阴道超声检查,以术后病理检查结果为金标准,评估经腹超声、经阴道超声单独及联合检查对卵巢肿瘤良恶性及卵巢癌临床分期的诊断价值。依据术后病理结果将95例卵巢肿瘤患者分为良性组(n=45)和恶性组(n=50),比较良性组与恶性组卵巢肿瘤患者的血流信号分级和血流动力学指标[血流最大峰值(PSV)、平均流速(Vm)、搏动指数(PI)、阻力指数(RI)]。结果 经腹超声+经阴道超声诊断卵巢肿瘤良恶性及卵巢癌临床分期的曲线下面积(AUC)分别为0.959(95%CI:0.905~1.000)、0.923(95%CI:0.811~0.979),分别高于经腹超声、经阴道超声单独检查的AUC。经腹超声联合经阴道超声检查诊断卵巢肿瘤良恶性及卵巢癌临床分期的准确度均明显高于经腹超声、经阴道超声单独检查(P﹤0.01)。良性组卵巢肿瘤患者血流信号分级明显低于恶性组(P﹤0.01),PSV、Vm、PI、RI均明显高于恶性组(P﹤0.01)。结论 经腹超声联合经阴道超声检查诊断卵巢肿瘤良恶性及卵巢癌临床分期的价值优于二者单独检查。
Objective To explore the early diagnostic value of transabdominal ultrasonography combined with transvaginal ultrasonography in benign and malignant ovarian tumor and clinical staging of ovarian cancer. Method A total of 95 patients with ovarian tumor were selected and underwent transabdominal ultrasonography and transvaginal ultrasonography before surgery. Taking postoperative pathological examination results as the gold standard, the diagnostic value of transabdominal ultrasonography and transvaginal ultrasonography alone and in combination in benign and malignant ovarian tumor and clinical staging of ovarian cancer were evaluated. According to postoperative pathological results, 95patients with ovarian tumor were divided into benign group(n=45) and malignant group(n=50). The blood flow signal grading and hemodynamic indexes [peak systolic velocity(PSV), mean velocity(Vm), pulsatility index(PI), resistance index(RI)] of ovarian tumor patients in benign and malignant groups were compared. Result The area under the curve(AUC) of transabdominal ultrasonography and transvaginal ultrasonography in the diagnosis of benign and malignant ovarian tumor and the clinical stage of ovarian cancer were 0.959(95%CI: 0.905-1.000) and 0.923(95%CI: 0.811-0.979),respectively, which were higher than those of transabdominal ultrasonography and transvaginal ultrasonography alone.The accuracy of transabdominal ultrasonography combined with transvaginal ultrasonography in the diagnosis of benign and malignant ovarian tumor and the clinical staging of ovarian cancer was significantly higher than that of transabdominal ultrasonography and transvaginal ultrasonography alone(P<0.01). The blood flow signal grade of ovarian tumor patients in benign group was significantly lower than that in malignant group(P<0.01), and PSV, Vm, PI and RI were significantly higher than those in malignant group(P<0.01). Conclusion The value of transabdominal ultrasonography combined with transvaginal ultrasonography in the diagnosis of benign and malignant ov
作者
张艺萍
赵丽君
孙培
ZHANG Yiping;ZHAO Lijun;SUN Pei(Department of Ultrasound,He’nan Second Provincial People’s Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2022年第14期1472-1476,共5页
Oncology Progress
关键词
经腹超声
经阴道超声
卵巢肿瘤
早期诊断
transabdominal ultrasonography
transvaginal ultrasonography
ovarian tumor
early diagnosis
