二维超声联合彩色多普勒血流显像诊断卵巢良恶性病变价值  

Value of two-dimensional ultrasound combined with color Doppler flow imaging for diagnosing the benign and malignant ovarian lesion

作　　者：李娜 严富天 徐冬梅 罗燕妮 徐泽娟 LI Na;YAN Futian;XU Dongmei;LUO Yanni;XU Zejuan(Guangyuan Central Hospital,Guangyuan,Sichuan Province,628000)

机构地区：[1]四川省广元市中心医院,628000

出　　处：《中国计划生育学杂志》2023年第1期210-213,共4页Chinese Journal of Family Planning

摘　　要：目的:探究二维超声联合彩色多普勒血流显像(CDFI)诊断卵巢良恶性病变的价值。方法:回顾性分析2018年4月-2021年4月本院接受诊治的131例卵巢肿瘤患者临床资料,根据病理组织学结果分为良性组与恶性组。均先以二维超声及CDFI对卵巢肿块超声形态结构、血流状况进行分析获取患者RI值均值、范围及分布情况,统计两种方式对良性病变检出情况,计算诊断效能。结果:131例中检出良性肿瘤86例,其中以浆液瘤、卵巢内膜异位症为主;检出卵巢癌45例,其中以上皮性卵巢癌为主。超声形态结构分析,良性肿瘤多见简单单房、简单多房表现,恶性肿瘤多见单房合并乳头表现;良性肿瘤86例中24例未见血流信号,45例恶性肿瘤内均可见血流信号,恶性组RI值[0.41±0.10(0.25~0.64)]低于良性组[0.53±0.11(0.33~0.74)](P<0.05)。经受术者工作特征曲线分析,RI值鉴别良恶性卵巢肿瘤的曲线下面积为0.794,截断值0.46。二维超声联合CDFI诊断卵巢良恶性病变的敏感度为97.8%,特异度为76.7%,准确度为84.0%。结论:良恶性卵巢肿瘤在二维超声及CDFI检查中表现差异显著,将两种方法联合应用具有良好的鉴别诊断效能。Objective:To explore the value of two-dimensional ultrasound combined with color Doppler flow imaging(CDFI)for diagnosing the benign or malignant ovarian lesion.Methods:A retrospective analysis was performed on the clinical data of 131 patients with ovarian tumors between April 2018 and April 2021.These patients were divided into group A(cases with benign ovarian tumors)and group B(cases with malignant ovarian tumors)based on the histological examination results of the patients.In order to obtain the mean value,range,and distribution of the ovarian RI value of the patients,the ultrasound morphological structure and blood flow status of ovarian masses of the patients were analyzed by two-dimensional ultrasound and CDFI.The detection situations of ovarian benign lesions of the patients by two-dimensional ultrasound and CDFI were counted.The diagnostic efficiency of two-dimensional ultrasound or CDFI for ovarian tumors was calculated.Results:Among 131 patients with ovarian tumors,there were 86 cases with benign ovarian tumors,mainly including serous tumors and ovarian endometriosis,and there were 45 cases with malignant ovarian tumors,mainly including mainlyepithelial ovarian cancer.Ultrasound morphological analysis showed that the benign ovarian tumors were the manifestations of simple unilocular and simple multilocular mainly,and the malignant ovarian tumors were the manifestations of unilocular cyst combined with nipple manifestation mainly.There were 24 patients without blood flow signal in benign tumors of 86 patients,and there were 45 patients with blood flow signal in malignant tumors of 45 patients.The RI value of the patients in group B was 0.41±0.10(0.25-0.64),which was significantly lower than that[0.53±0.11(0.33-0.74)]of the patients in group A(P<0.05).Receiver operating characteristic(ROC)curve analysis showed that the area under the curve and the cut-off value of RI value for distinguishing benign and malignant ovarian tumors of the patients were 0.794 and was 0.46.The sensitivity,the specificity,and

关 键 词：卵巢肿瘤 二维超声 彩色多普勒血流显像 鉴别诊断 

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]