经腹彩色多普勒鉴别卵巢肿瘤良恶性的临床诊断价值  

The Clinical Value of Differentiating Malignant from Benign Ovarian Tumors with Transabdominal Color Doppler Flow Imaging

作　　者：徐晓红[1] 张青萍[1] 高淑英[1] 乐桂蓉[1] 汪元芳[1] 黎春蕾[1] 漆秀梅[2] 刘丽江[2] 王世宣[2] 

机构地区：[1]同济医科大学附属同济医院B超室,武汉430030 [2]同济医科大学附属同济医院妇产科,武汉430030

出　　处：《华中科技大学学报（医学版）》1997年第S1期92-94,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：应用经腹彩色多普勒血流显像检查了64例卵巢肿瘤。结果表明:恶性肿瘤的彩色血流信号显示率(87.5％)明显高于良性肿块(6.7％,P<0.01);恶性肿瘤血流特征为收缩期峰值与舒张末期血流速度相差较小的低阻力性质,其舒张末期血流速度明显高于良性组(P<0.05),若以肿块内及周边出现丰富的彩色血流信号及RI<0.5作为诊断卵巢恶性肿块的依据,则其诊断准确率为91.3％,是二维影像诊断的有益补充。The ovarian tumors were studied with transabdominal color Doppler flow imaging (CDFI) in 64 patients. The results showed that the detection rate of flow signal of the malignant tumors (87.5%) was significantly higher than that of the benign masses (6. 7%)( P <0.01), and the blood flow characteristics in malignant tumors revealed high-velocity Doppler shift, with little systolic-diastolic variation. The diastolic flow component was significantly higher than that of benigns ( P<0. 05), but the value of resistance index (RI) was significantly lower than that of benigns (P<0. 01). When abundant color flow and RI<0. 5 were used as a groundwork for diagnosing the malignant masses, the accuracy rate might reach 91.3%. This may be a useful supplement to the two-dimensional imaging.

关 键 词：超声检查 多普勒 彩色 卵巢肿瘤 

分 类 号：R737.31[医药卫生—肿瘤]