超声在卵巢浆液性交界性肿瘤与卵巢浆液性囊腺瘤鉴别中的诊断价值分析  

Analysis of the diagnostic value of ultrasonography in ovarian serous borderline tumor and ovarian serous cystadenoma

作　　者：陈思吉 CHEN Si-ji(Ultrasonography Department,Dalian Maternal and Child Health Hospital,Dalian 116000,China)

机构地区：[1]大连市妇幼保健院超声科,116000

出　　处：《中国实用医药》2022年第5期77-80,共4页China Practical Medicine

摘　　要：目的 分析超声在卵巢浆液性囊腺瘤与卵巢浆液性交界性肿瘤鉴别中的诊断价值。方法 选择经手术病理证实的64例卵巢浆液性囊腺瘤患者和52例卵巢浆液性交界性肿瘤患者作为研究对象,所有患者均实施超声诊断,比较两种肿瘤的超声影像学表现,并分析超声对卵巢浆液性交界性肿瘤的诊断效能。结果 52例卵巢浆液性交界性肿瘤患者共有肿块60个。其中:8例为双侧肿块,占比为15.38%(8/52);20个单房,占比为33.33%(20/60);56个囊实性,占比为93.33%(56/60);病灶内乳头结节最大直径平均值约为26 mm;超声显示, 10个肿块有血流信号,占比为16.67%(10/60);9个2级血流, 1个3级血流, 50个无血流信号,占比为83.33%(50/60)。64例卵巢浆液性囊腺瘤患者共有肿块68个。其中:4例双侧肿块,占比为6.25%(4/64);36个单房,占比为52.94%(36/68);68个肿块均表现为囊性包块,肿瘤内部未见乳头状结节;超声显示, 4个2级血流, 64个无血流信号,占比为94.12%(64/68)。卵巢浆液性囊腺瘤和卵巢浆液性交界性肿瘤患者的单双侧、腹水和肿块分隔、血流情况比较差异均无统计学意义(P>0.05);卵巢浆液性囊腺瘤肿块的囊实性回声占比高于卵巢浆液性交界性肿瘤肿块,差异具有统计学意义(P<0.05)。以手术病理诊断结果作为金标准, 64例卵巢浆液性囊腺瘤患者全部诊断准确, 52例卵巢浆液性交界性肿瘤患者中误诊为良性肿瘤者4例。对卵巢浆液性交界性肿瘤实施超声检查,阴性预测值为94.12%(64/68),阳性预测值为100.00%(48/48),特异度为100.00%(64/64),灵敏度为92.31%(48/52)。结论 卵巢浆液性交界性肿瘤的超声影像学表现多样,且易和卵巢浆液性腺瘤超声征象发生重叠,因此,卵巢囊肿超声诊断中一旦发现多个或单个乳头,应与卵巢浆液性交界性肿瘤进行鉴别,防止与良性卵巢肿瘤混淆,发生误诊。Objective To analyze the diagnostic value of ultrasonography in ovarian serous borderline tumor and ovarian serous cystadenoma.Methods 64 cases of ovarian serous cystadenoma and 52 cases of ovarian serous borderline tumors were selected as the subjects of this study.All patients were diagnosed with ultrasonography,the ultrasonography findings of the two tumors were compared,and the diagnostic efficacy of ultrasonography for ovarian serous borderline tumors was analyzed.Results There were a total of 60 masses in 52 patients with ovarian serous borderline tumors.Among them:8 cases were bilateral masses,accounting for 15.38%(8/52);20 single atrials,accounting for 33.33%(20/60);56 cystic solids,accounting for 93.33%(56/60);the mean maximum diameter of papillary nodules in the lesion was about 26 mm;ultrasonography showed that 10 masses had blood flow signal,accounting for 16.67%(10/60);of which 9 masses had grade 2 blood flow,1 mass had grade 3 blood flow,and 50 masses had no blood flow signal,accounting for 83.33%(50/60).There were a total of 68 masses in 64 patients with ovarian serous cystadenoma.Among them:4 cases were bilateral masses,accounting for 6.25%(4/64);36 single atrials,accounting for 52.94%(36/68);all 68 masses showed cystic masses and no papillary nodules were seen inside the tumor;ultrasound showed that 4 masses had grade 2 blood flow and 64 masses had no blood flow signal,accounting for 94.12%(64/68).There was no statistically significant differences in unilateral and bilateral,ascites and mass segregation,and blood flow in patients with ovarian serous cystadenoma and ovarian serous borderline tumors(P>0.05).The percentage of cystic solid echogenicity in ovarian serous cystadenoma masses was higher than that in ovarian serous borderline tumors masses,and the difference was statistically significant(P<0.05).With surgical pathological diagnosis as the gold standard,all 64 patients with ovarian serous cystadenoma were diagnosed accurately,and 4 of 52 patients with ovarian serous borderline tumors were

关 键 词：超声 卵巢浆液性交界性肿瘤 卵巢浆液性囊腺瘤 诊断 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]