经阴道三维超声自由解剖成像联合彩色多普勒对卵巢肿瘤良恶性的鉴别诊断价值  

Value of transvaginal three-dimensional ultrasound free anatomic imaging combined with color Doppler for differential diagnosing the benign or malignant ovarian tumors

作　　者：翟哲 刘丽 王亚芹 ZHAI Zhe;LIU Li;WANG Yaqin(General Hospital of Huainan East Hospital Group,Huainan,Anhui Province,232001)

机构地区：[1]安徽省淮南东方医院集团总医院,232001

出　　处：《中国计划生育学杂志》2023年第8期1967-1971,共5页Chinese Journal of Family Planning

摘　　要：目的:探究经阴道三维超声自由解剖成像(OmniView)联合彩色多普勒超声对卵巢肿瘤良恶性的鉴别诊断价值。方法:回顾性收集本院2019年1月-2022年12月就诊的85例卵巢肿瘤患者临床资料,以手术病理结果为“金标准”,对比分析二维超声、三维超声及OmniView技术对卵巢癌的诊断效能,logistic回归分析卵巢癌发生危险因素。结果:85例中病理证实卵巢恶性肿瘤32例(恶性组),良性肿瘤53例(良性组)。恶性组患者病灶最大径大于良性组,内部回声囊实性或实性与内壁伴有乳头比例均高于良性组,超声参数阻力指数小于良性组,收缩期最高/舒张期最低峰值血流流速均大于良性组(均P<0.05)。以病理结果为依据,阴道三维超声OmniView技术联合彩色多普勒诊断卵巢恶性肿瘤的敏感度、特异度、准确度(93.8%、98.1%、96.5%)均高于阴道二维超声诊断(84.4%、81.1%、82.4%)(P<0.05)。logistic回归分析,肿瘤内部回声囊实性或实性、阻力指数小、收缩期最高峰值/舒张期最低峰值血流速度大是卵巢恶性肿瘤独立危险因素(P<0.05)。结论:经阴道三维超声OmniView技术联合彩色多普勒对卵巢肿瘤良恶性具有较好的鉴别诊断价值。Objective:To explore the value of transvaginal three dimensional ultrasound free anatomic imaging(Omni-View)combined with color Doppler for dfferential diagnosing the benign or malignant ovarian tumors.Methods:The clinical data of 85 patients with ovarian tumor treated from January 2019 to Dcember 2022 were ollected retrospec-tively.Based on the surgical pathological results as the"gold standard",the diagnostic efficacy for the ovarian cancer was compared among the twordimensional ultrasonography.three dimensional ultrasound,and the OmniView technol-ogy.The risk factors of the ovarian cancer were analyzed by logistic regression.Results:The maximum diameter of the ovarian lesion of the patients in group A was significantly higher than that of the patients in group B.The proportions of ystic/solid and inner wall with papillae of the patients in group A were significantly higher than those than those of the patients in group B.The resistance indexes values of ultrasonie parameters of the patients in group A were signifi-cantly lower than those of the patients in group B.The maximum systolic/minimum diastolic peak of blood flow veloci-ties of the patients in group A were significantly higher than those of the patients in group B(all P<0.05).Based on the results of pathology,the sensitivity,the specificity,and the accuracy of three-dimensional vaginal ultrasound,three-dimensional ultrasound combined with OmniView technology,and three dimensional ultrasound combined with color Doppler for diagnosing the ovarian malignant tumor were 93.8%,98.1%。96.5%,respectively,which were sig-nificantly higher than those(84.4%.81.1%,and 82.4%.respectively)of two dimensional vaginal ultrasound,two-di-mensional vaginal ultrasound combined with OmniView technology,and twor dimensional vaginal ultrasound combined.with color Doppler(P<0.05).Logistie regression analysis showed that the independent risk factors of the ovarian ma-lignant tumor included the internal echocystic or solid,the low resistance index valuc,and the high systolic pec

关 键 词：卵巢肿瘤 良恶性 阴道三维超声 自由解剖成像 彩色多普勒 鉴别诊断 危险因素 

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]