彩色超声鉴别卵巢恶性肿瘤的危险因素分析  

Analysis of risk factors about color ultrasound diagnosis of ovarian malignancy

作　　者：李晓森[1] 宗珊[1] 刘晓霞[1] 岳瑛[1] 姬春梅 

机构地区：[1]吉林大学第一医院肿瘤妇科,吉林长春130061 [2]长春协和妇科医院

出　　处：《中国妇幼保健》2014年第4期605-606,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨卵巢肿瘤的彩色超声图像特征中能够鉴别诊断出恶性肿瘤的危险因素有哪些。方法:回顾性分析193例卵巢肿瘤患者的临床资料,总结出卵巢肿瘤的11种彩超特征。将患者随机分为试验组92例和对照组101例,分析试验组利用Logistic回归建立能够提示恶性肿瘤风险的三级危险分层,并在对照组中检验此危险分层的临床应用价值。结果:高危因素是彩超提示的肿瘤含有内部血流,中危因素包括肿瘤为厚壁、厚分隔和含有实性或不规则区域,低危因素包括肿瘤为单纯囊肿、薄分隔、较稠回声及低回声等。结论:对于卵巢肿瘤患者,若其彩超结果能排除高危及中危因素,那么其为恶性肿瘤的几率较低。Objective： To identify risk factors which could distinguish the malignant tumors based on the features of color ultra- sound images of ovarian tumors. Methods： 193 cases of clinical data of patients with ovarian tumors were retrospectively analyzed, and 11 features were concluded. All patients were randomly divided into experimental group （92 cases） and control group （101 cases） . Based on the logistic regression analysis, a three - level risk stratification were created, which could indicate the risk factors of the malignant tumors. The risk stratification was applied in control group to assess its clinical value. Results： High risk factor was inner blood inside the tumor. Intermediate risk factors included the features of a thick wall, a thick septa, and lesions with irregular solid components. Low risk factors included simple cyst, thin septa, turbid echoes, and low level echoes. Conclusion： For ovarian tumor patients, if the color ultra- sound results can exclude high and intermediate risk factors, it is a low probability of malignancy.

关 键 词：卵巢恶性肿瘤 彩色超声 危险因素 

分 类 号：R737.31[医药卫生—肿瘤]