术前超声在评估腹膜假黏液瘤的腹膜播散指数的应用价值  

Value of Preoperative Ultrasound in Evaluating Peritoneal Cancer Index of Pseudomyxoma Peritonei

作　　者：史宛瑞 梁蕾 周南 许洪斌 陈峰 郭君 Shi Wanrui;Liang Lei;Zhou Nan;Xu Hongbin;Chen Feng;Guo Jun(Department of Ultrasound,Peking University Aerospace School of Clinical Medicine,Beijing 100049,China)

机构地区：[1]北京大学航天临床医学院超声科,北京市100049 [2]北京大学航天临床医学院黏液瘤科,北京市100049

出　　处：《中国超声医学杂志》2019年第3期232-235,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨术前超声在评估腹膜假黏液瘤的腹膜播散指数的应用价值。方法术前对59例腹膜假黏液瘤患者进行超声检查,并进行超声腹膜播散指数(PCI)的评估。以手术PCI评分为金标准,分析其与超声PCI总分、各区PCI评分的相关性及高低估情况,评估超声对PCI评分的诊断价值。结果 (1)术前超声和手术的PCI总分及0～7区评分具有相关性(P<0.05),其中PCI总分以及0～3、6区的相关性较高。(2)与手术PCI相比,超声高估主要分布在2、4～8区对于2分的评估(高估人数占比>20%),低估主要分布在1、3、4、8区对于3分的评估(低估人数占比>20%)。结论超声检查可以对腹膜假黏液瘤患者进行术前PCI评分,更好的判断腹膜疾病的严重程度并且预测患者预后。Objective To explore the value of preoperative ultrasonography in evaluating peritoneal cancer index of pseudomyxoma peritonei.Methods Ultrasound examination was performed on 59 patients with pseudomyxoma peritonei before operation,and the ultrasound PCI was evaluated.The accuracy of ultrasound PCI score was evaluated by with surgical PCI score which was regarded as the gold standard.Results(1)There was a correlation between ultrasound PCI and surgical PCI in total score and 0-7 regional scores(P<0.05),and also the total score of PCI and areas 0-3,6 were highly correlated.(2)Compared with surgical PCI,overestimation(the proportion of people who was overestimated>20%)was mainly concentrated in areas 2,4-8 for 2 points,and underestimation(the proportion of people who was underestimated>20%)was mainly concentrated in areas 1,3,4,and 8 for 3 points.Conclusions Ultrasound examination can be used to score preoperative PCI,judge the severity and predict the prognosis in patients with pseudomyxoma peritonei.

关 键 词：超声检查 腹膜假黏液瘤 腹膜播散指数 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.5[医药卫生—诊断学]