经阴道三维彩色血管能量成像在卵巢肿瘤定量诊断中的价值及意义  

Value and Significance of the Transvaginal Three-dimensional Color Power Angiography in the Quantitative Diagnosis of Ovarian Tumors

作　　者：张海燕[1] 马丽丽[2] 代培凤[3] 

机构地区：[1]潍坊医学院妇产科教研室,山东潍坊261042 [2]潍坊医学院附属潍坊市人民医院妇科 [3]潍坊医学院附属潍坊市人民医院超声科

出　　处：《潍坊医学院学报》2010年第6期414-416,共3页Acta Academiae Medicinae Weifang

摘　　要：目的通过研究经阴道三维彩色血管能量成像（TV3D．CPA）中血管化指数（V1）、血流指数（FI）、血管化血流指数（VFI）3个血管参数，对术前卵巢良恶性肿瘤做出定量诊断。方法采用经阴道三维彩色能量多普勒对56例术前诊断为卵巢肿瘤的患者进行检查并测量相应的血管参数，并与手术及病理结果对照。结果VI，FI和VFI值在卵巢恶性肿瘤组中均明显高于良性肿瘤组，差异具有统计学意义。56例卵巢肿瘤经TV3D—CPA诊断为良性20例，恶性36例，经手术及病理证实良性22例，恶性34例，诊断的敏感性、特异性及符合率分别为94．1％，81．8％和89．3％．结论TV3D—CPA定量测量卵巢肿瘤血管参数为术前鉴别卵巢肿瘤良恶性及卵巢恶性肿瘤的早期诊断提供重要依据，对妇科手术方案的制定具有指导意义。，Objective To study the blood of the index（VI） ,flow index（FI） and vascularization flow index（ VFI） of the trans- vaginal three-dimensional color power angiography（TV3D-CPA ） in patients with ovarian tumors before surgety,so as to make the quantitatiye diagnusis. Methods To examine 56 patients with a preoperative diagnosis of ovarian tumors by TV3D-CPA and the corresponding blood vessel parameters was measured. The blood vessel parameters and surgical and pathological findings was compared. Results VI,FI and VFI values in the ovarian cancer group were significantly higher than that of the benign group, the difference was statistically significant. In 56 cases of ovarian cancer examined by TV3D-CPA ,20 cases was diagnosed as benign tumor,and 36 cases was malignant. Twenty-two cases was be- nign and 34 eases was malignant tumor proved by surgery and pathology ,The rate of diagnostic sensitivity, specificity and compliance was 94. 1% ,81.8% and 89.3% respectively. Conclusion The quantitative measurement of blood vessel parameters of ovarian tumors by TV3D- CPA provides an important basis for preoperative identification of benign and malignant ovarian tumors,as well as the early diagnosis. It also provides guidanee for makding gynecological surgery program.

关 键 词：三维彩色血管能量成像 血管定量参数测定 卵巢肿瘤 

分 类 号：R737.31[医药卫生—肿瘤]