超声造影鉴别诊断妇科盆腔肿块良恶性的临床应用价值  

Clinical value of contrast-enhanced ultrasound in differential diagnosis of benign and malignant gynecological pelvic masses

作　　者：王佳佳 水旭娟 胡明子 余彩茶 WANG Jia-Jia;SHUI Xu-Juan;HU Ming-Zi(Zhejiang Chinese Medicine University,Hangzhou,Zhejiang 310053,China;Department of Obstetrics and Gynecology Ultrasound,Wenzhou People's Hospital,Wenzhou,Zhejiang 325000,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]温州市人民医院妇产超声科,浙江温州325000

出　　处：《中国妇幼保健》2022年第13期2504-2506,共3页Maternal and Child Health Care of China

基　　金：浙江省市县级科技计划项目(2021Y0154)。

摘　　要：目的 探讨妇科盆腔肿块良恶性鉴别诊断中超声造影检查的临床应用价值。方法 回顾性选取2018年1月—2020年12月温州市人民医院收治的妇科盆腔肿块患者41例(50个肿块),分析术后病理检查结果,对比常规超声检查与术后病理检查结果,对比超声造影检查与术后病理检查结果,统计分析常规超声检查与超声造影检查结果。结果 41例患者中,卵巢子宫内膜异位囊肿5例(12.20%),输卵管慢性炎伴扩张、积水4例(9.76%),浆膜下子宫肌瘤2例(4.88%),卵巢黄体囊肿伴出血1例(2.44%);良性肿瘤24例(58.54%),恶性肿瘤5例(12.20%)。术后病理检查恶性5例,良性36例;常规超声检查恶性8例,良性33例。与术后病理检查结果对比,常规超声检查的灵敏度为80.00%(4/5),特异度为88.89%(32/36),准确性为87.80%(36/41),恶性预测值为50.00%(4/8),良性预测值为96.97%(32/33)。超声造影检查恶性6例,良性35例。与术后病理检查结果对比,超声造影检查的灵敏度为100.00%(5/5),特异度为97.22%(35/36),准确性为97.56%(40/41),恶性预测值为83.33%(5/6),良性预测值为100.00%(35/35)。超声造影检查的灵敏度、特异度、准确性、恶性预测值及良性预测值均高于常规超声检查(均P<0.05)。结论 妇科盆腔肿块良恶性鉴别诊断中超声造影检查的临床应用价值较常规超声检查高。Objective To investigate the clinical value of contrast-enhanced ultrasound in the differential diagnosis of benign and malignant pelvic masses in gynecology.Methods A retrospective selection between January 2018 and December 2020 in our hospital of department of gynaecology 41 patients with pelvic masses(50 mass), and postoperative pathologic examination results, comparing to conventional ultrasound examination and postoperative pathologic examination results, contrast-enhanced ultrasound examination and postoperative pathologic examination, the results of statistical analysis of conventional ultrasound and ultrasound imaging examination results.Results Among the 41 patients, 5 cases(12.20%) were endometriosis cyst of ovary, 4 cases(9.76%) were chronic tubal inflammation with dilation and hydronephrosis, 2 cases(4.88%) were subserous uterine fibroids, and 1 case(2.44%) were luteal cyst of ovary with hemorrhage.24 cases(58.54%) were benign tumors.5 cases(12.20%) were malignant tumors.Pathological examination showed that 5 cases were malignant and 36 cases were benign.Conventional ultrasound examination of malignant 8 cases, benign 33 cases.Compared with the results of postoperative pathological examination, the sensitivity, specificity and accuracy of conventional ultrasound examination were 80.00%(4/5), 88.89%(32/36), 87.80%(36/41), 50.00%(4/8) and 96.97%(32/33) respectively.Contrast-enhanced ultrasonography examined 6 cases of malignant and 35 cases of benign.Compared with the results of postoperative pathological examination, the sensitivity, specificity and accuracy of conventional ultrasound examination were 100.00%(5/5), 97.22%(35/36), 97.56%(40/41), 83.33%(5/6) and 100.00%(35/35) respectively.The sensitivity, specificity, accuracy, malignant predictive value and benign predictive value of contrast-enhanced ultrasound were higher than those of conventional ultrasound(P<0.05).Conclusion Contrast-enhanced ultrasonography is more valuable than conventional ultrasonography in differential diagnosis of benign an

关 键 词：妇科 盆腔肿块 良恶性 鉴别诊断 常规超声 超声造影 术后病理检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]