超声联合彩色多普勒超声检查对卵巢肿瘤的诊断价值  

Diagnostic Valuation of Ovarian Tumors with Conventional Sonography and Color Doppler Analysis

作　　者：陈昭日[1] 付秀珍[1] 王丽[1] 朱建春 

机构地区：[1]潍坊医学院附属医院,山东潍坊261031 [2]潍坊市中医院

出　　处：《潍坊医学院学报》2000年第4期277-279,共3页Acta Academiae Medicinae Weifang

摘　　要：目的　探讨超声联合彩色多普勒超声 (彩超 )检查对卵巢良、恶性肿瘤的诊断价值。方法　对 15 2例疑卵巢肿瘤的病人行常规超声和彩超检查 ,观察其形态结构、血流信号分布及血流阻力、血流速度的特征 ;对肿块的良、恶性进行术前诊断 ;并计算常规超声检查和超声联合彩超检查的诊断敏感性、特异性、阳性预测值、阴性预测值。结果　 99例良性、49例恶性卵巢肿瘤经病理证实常规超声检查诊断的敏感性为 80 % ,特异性为 81% ,阳性预测值为 6 7% ,准确性为 80 % ;超声联合彩超检查诊断的敏感性为 86 % ,特异性 97% ,准确性 99% ,阳性预测值为 93.8% .结论　超声联合彩超检查能提高超声诊断卵巢肿瘤的特异性和阳性预测值 ,更具有临床实用价值。Objective To evaluate the importance of conventional sonography and color Dopplor analysis for the assessment of benign and malignant ovarian tumors.Method One hundred and fifty-two wonen seen for ovarianmasses were studied with conventional sonography and combined with color Doppler sonography.A morphologic assessment was initially performed,followed by color flow Doppler analysis.Diagnostic values of two methods were calculated respectively.Result Ninety-nine benign and 49 malignant tumors were pathologically confirmed.Using conventional sonography alone,the diagnostic sensitivity was 80%,specifity was 81%,positive predictive value was 67%,and accuracy was 80%.Using conventional sonography combined with color Doppler analysis,the diagnostic sensitivity was 80%,specifity was 97%,positive predictive value was 93%,and accuracy was 99%.Conclusion Conventional sonography combined with color Doppler analysis produced specifity and positive predictive value higher than those of conventional sonography alone.It deserves more clinical values. [

关 键 词：超声 彩色多普勒超声 卵巢肿瘤 诊断 

分 类 号：R737.310.4[医药卫生—肿瘤]