超声分数、血管指数及血管阻力指数在卵巢肿瘤诊断中作用的研究  

The Role of Ultrasonic Score,Blood Vessels and Vascular Resistance Index in Diagnosing Ovarian Tumors

作　　者：王丽 任雁林[2] 刘翔宇[3] 杨春芳 

机构地区：[1]涿鹿县人口和计划生育局技术服务站妇产科,河北涿鹿075600 [2]河北北方学院附属第一医院妇产科 [3]河北北方学院附属第一医院超声科 [4]万全县人口和计划生育局技术服务站妇产科

出　　处：《华西医学》2015年第7期1255-1259,共5页West China Medical Journal

摘　　要：目的探讨超声分数、血管指数及血管阻力指数对卵巢良恶性肿瘤鉴别诊断、预测的价值。方法收集2008年1月-2012年6月收治的卵巢肿瘤患者157例,年龄19-68岁,平均56岁,其中良性肿瘤77例,恶性肿瘤80例。分别记录超声分数、血管指数及血管阻力指数,以术后病理诊断为依据,比较良、恶性肿瘤的差别;结合术前预测,比较其灵敏度、特异度。结果卵巢良性肿瘤超声分数、血管指数明显低于恶性肿瘤,差异有统计学意义（P〈0.05）;良性肿瘤血管阻力指数明显高于恶性肿瘤,差异有统计学意义（P〈0.05）;分别以超声总分≥2分、血管指数〉0.02条/cm3、血管阻力指数≤0.6作为诊断恶性肿瘤的界值具有较高的灵敏度和特异度,其灵敏度为分别为92.5%、90.0%、87.5%;特异度分别为90.9%、89.6%、84.4%。结论超声分数、血管指数和血管阻力指数对卵巢肿瘤良恶性鉴别具有指导意义,而超声分数的预测价值更高,具有临床应用和推广价值。Objective To explore the value of ultrasonic score,blood vessels and vascular resistance index in predicting and diagnosing benign and malignant ovarian tumor.Methods A total of 157 patients with ovarian tumors（ 77 benign and 80 malignant） aged from 19 to 68 years old（average 56 years） between January 2008 and June 2012 were enrolled in the research.The ultrasonic score,blood vessels and vascular resistance index were recorded,and the differences between benign and malignant tumor were compared according to the pathological diagnosis; Their sensitivities and specificities were analyzed with the preoperative prediction.Results In benign ovarian tumor,ultrasound scores and blood vessels index were obviously lower than that in the malignant tumor（ P 〈0.05）; the vascular resistance index was much higher than that in the malignant tumor（ P 〈0.05）.The sensitivities and specificities in diagnosing malignant tumor were high when the ultrasonic score was ≥ 2,vascular index was〉 0.02 /cm^3,and blood flow resistance index was ≤ 0.6.The sensitivities were 92.5 %,90.0 %,87.5 %,respectively; while the specificities were 90.9 %,89.6 %,84.4 %,respectively.Conclusion Ultrasonic score,blood vessels and vascular resistance index have significance for identifying benign and malignant ovarian tumors; ultrasonic score is more accurate which has high value of clinical application and popularization.

关 键 词：卵巢肿瘤 超声分数 血管指数 血管阻力指数 诊断 

分 类 号：R737.31[医药卫生—肿瘤]