良性、交界性和恶性卵巢上皮性肿瘤超声鉴别诊断探讨  

Ultrasonographic diagnosis of benign,borderline and malignant ovarian epithelial tumors

作　　者：杜伊林[1] 周琦[2] 叶学正[3] 罗小平[1] 凌云[1] 李进[3] 林丁[4] 王冬[2] 

机构地区：[1]重庆市肿瘤研究所B超室,400030 [2]重庆市肿瘤研究所妇瘤科,400030 [3]重庆市肿瘤研究所病理科,400030 [4]重庆市肿瘤研究所肿瘤实验室,400030

出　　处：《中华超声影像学杂志》2004年第6期446-449,共4页Chinese Journal of Ultrasonography

摘　　要：目的　探讨良性、交界性和恶性卵巢上皮性肿瘤超声鉴别诊断价值。方法　在 2 0 3例卵巢上皮性肿瘤患者中 ,采用超声测量 12 8例囊 实混合性包块瘤体内实体组织截面积大小 ,并与病理性质比较分析。结果卵巢上皮性肿瘤瘤体内实体组织面积大小良性 <交界性 <恶性 ,三者比较差异有显著性意义 (P <0 .0 0 1)。实体组织大小与病理性质存在良好的相关性。将实体组织面积 <1cm2 、1～ 5cm2 和 >5cm2 分别作为诊断良性、交界性和恶性上皮性肿瘤的临界值 ,其敏感性分别为 94.7%、80 .0 %和 90 .7% ,特异性分别为 96.3 %、92 .4%和 97.6% ,准确性分别为 96.1%、90 .0 %和 92 .9%。结论　超声测量瘤体内实体组织面积大小可作为良性、交界性和恶性卵巢上皮性肿瘤有价值的鉴别诊断方法之一。如结合彩色多普勒血流显像、大网膜和腹膜后淋巴结等情况综合分析 ,将会使诊断准确率进一步提高。Objective To study the value of ultrasonographic diagnosis of benign,borderline and malignant ovarian epithelial tumors.Methods In the 203 patients of ovarian epithelial tumors,the substantial tissues′ area of 128 cases with cyst-solid mass was measured through ultrasonography and compared with pathology.Results The area of substantial tissues in ovarian epithelial tumors was benign <borderline<malignant ( P < 0.001 ).If the area <1 cm 2,1～5 cm 2 and >5 cm 2 were regarded as optimal threshold values for differentiation of the benign,the borderline and the malignancy,their sensitivities were 94.7% , 80.0% and 90.7% ,their specificities were 96.3% , 92.4% and 97.6% ,accuracies were 96.1% , 90.0% and 92.9% .Conclusions It provides an effective method for diagnosis of benign, borderline and malignant ovarian epithelial tumors.If combined with conditions of color Doppler flow imaging, and comprehensive consideration on greater omentum and lymph node, the accurate diagnostic rate will be increased.

关 键 词：良性卵巢上皮性肿瘤 交界性卵巢上皮性肿瘤 恶性卵巢上皮性肿瘤 超声检查 诊断 鉴别诊断 

分 类 号：R737.31[医药卫生—肿瘤] R730.41[医药卫生—临床医学]