介入性超声和常规超声对卵巢癌腹膜转移的诊断价值比较  

Comparison of interventional ultrasound versus conventional ultrasound in the diagnosis of peritoneal metastasis of ovarian cancer

作　　者：赵艳萍[1] 栗河莉[1] 赵丽娟[1] 齐清华[1] 杨树利 Zhao Yanping;Li Heli;Zhao Lijuan;Qi Qinghua;Yang Shuli(Department of Ultrasound,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Imaging Diagnosis,Henan Medical College,Xinzheng 451191,China)

机构地区：[1]郑州大学第一附属医院超声科,450052 [2]河南医学高等专科学校影像诊断教研室,新郑451191

出　　处：《中国实用医刊》2021年第17期9-12,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较介入性超声和常规超声对卵巢癌腹膜转移的诊断价值。方法抽取2018年11月至2020年11月郑州大学第一附属医院收治的疑似卵巢癌腹膜转移患者79例。所有患者均行介入性超声和常规超声诊断,统计病理检查结果,比较介入性超声和常规超声对卵巢癌腹膜转移的诊断结果和诊断效能(灵敏度、特异度、准确度、漏诊率、误诊率、阳性预测值、阴性预测值),比较常规超声对合并不同程度腹水的腹膜转移的诊断情况,并分析其影像学图像特征。结果79例疑似卵巢癌腹膜转移患者中,病理检查确诊腹膜转移70例,腹膜转移率为88.61%(70/79)。常规超声诊断腹膜转移结节最长径为0.6~4.5(1.55±0.06)cm,且常规超声检出最薄腹膜厚0.49 cm。介入性超声诊断出腹膜转移72例,未发生腹膜转移7例;常规超声诊断出腹膜转移66例,未发生腹膜转移13例。介入性超声诊断的灵敏度为95.71%(67/70),准确度为89.87%(71/79),高于常规超声诊断的84.29%(59/70)、77.22%(61/79);介入性超声诊断的漏诊率为4.29%(3/70),低于常规超声诊断的15.71%(11/70),差异有统计学意义(P<0.05)。70例卵巢癌腹膜转移患者均存在不同程度腹水,常规超声诊断存在腹水的腹膜转移阳性率为84.29%(59/70),少量腹水阳性率为68.42%(13/19),中等量腹水阳性率为85.71%(24/28),大量腹水阳性率为95.65%(22/23)。结论常规超声诊断效果受腹水深径影响,腹水量越多则检查效果越显著,在少量腹水患者诊断中应用受限,与常规超声相比,介入性超声诊断卵巢癌腹膜转移可提高灵敏度和准确度,降低漏诊率,为临床诊断提供科学依据。Objective To compare the diagnostic value of interventional ultrasound and conventional ultrasound for peritoneal metastasis of ovarian cancer.Methods A total of 79 patients with suspected ovarian cancer and peritoneal metastasis treated in the First Affiliated Hospital of Zhengzhou University from November 2018 to November 2020 were selected.All patients were diagnosed by interventional ultrasound and conventional ultrasound.And the results of the medical examination were calculated.The diagnostic results and diagnostic efficacy(sensitivity,specificity,accuracy,missed diagnosis rate,misdiagnosis rate,positive predictive value,negative predictive value)of interventional ultrasound and conventional ultrasound in the diagnosis of ovarian cancer peritoneal metastasis were compared.The diagnoses of peritoneal metastasis with different degrees of ascites detected by conventional ultrasound were compared.And the image information was analyzed.Results Among 79 patients with suspected peritoneal metastasis of ovarian cancer,70 cases of peritoneal metastasis were confirmed by pathological examination,and the rate of peritoneal metastasis was 88.61%(70/79).The maximum diameter of peritoneal metastasis nodules detected by conventional ultrasound diagnosis was 0.6-4.5(1.55±0.06)cm,and the thinnest peritoneum thickness detected by conventional ultrasound was 0.49 cm.A total of 72 cases with peritoneal metastasis and 7 cases without peritoneal metastasis were diagnosed by interventional ultrasound;66 cases with peritoneal metastasis and 13 cases without peritoneal metastasis were diagnosed by conventional ultrasound.The sensitivity(95.71%,67/70)and accuracy(89.87%,71/79)of interventional ultrasound diagnosis were higher than those of conventional ultrasound diagnosis(84.29%,59/70;77.22%,61/79),and the missed diagnosis rate(4.29%,3/70)was lower than that of conventional ultrasound diagnosis(15.71%,11/70),P<0.05.The 70 cases of ovarian cancer with peritoneal metastasis all had different degrees of ascites.According to routine u

关 键 词：卵巢癌 腹膜转移 介入性超声 常规超声 诊断效能 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.31[医药卫生—诊断学]