彩色多普勒超声诊断卵巢囊肿的临床应用价值研究  

Clinical application value of color doppler ultrasonography in diagnosis of ovarian cyst

作　　者：栗晨 Li Chen(Department of Ultrasound,Jilin Cancer Hospital,Changchun 130000,China)

机构地区：[1]吉林省肿瘤医院超声科,吉林长春130000

出　　处：《实用妇科内分泌电子杂志》2024年第8期68-70,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究彩色多普勒超声诊断卵巢囊肿的临床应用价值。方法选取49例疑似卵巢囊肿患者,均进行B超检查、彩色多普勒超声检查,以术后病理检查结果为金标准,比较两种不同检查方式的诊断效能及良恶性卵巢囊肿的血流动力学参数。结果49例疑似卵巢囊肿患者中,经术后病理检查确诊18例恶性卵巢囊肿,31例良性卵巢囊肿。彩色多普勒超声检查诊断准确率为87.76%,高于B超检查的69.39%,差异有统计学意义(P<0.05)。良性卵巢囊肿患者阻力指数(RI)、搏动指数(PI)指标高于恶性卵巢囊肿,收缩期峰值血流速度(PSV)指标低于恶性卵巢囊肿患者,差异有统计学意义(P<0.05)。结论彩色多普勒超声检查的诊断准确率更高,有利于提高卵巢囊肿患者诊断效果,且通过血流动力参数变化,即可鉴别卵巢囊肿性质,以指导后续治疗。Objective To explore the clinical value of color doppler ultrasound in the diagnosis of ovarian cysts.Methods 49 patients with suspected ovarian cysts were examined by B-ultrasound and color doppler ultrasonography.The results of postoperative pathological examination were used as the gold standard to compare the diagnostic efficacy of the two different methods and the hemodynamic parameters of benign and malignant ovarian cysts.Results Among 51 patients with suspected ovarian cysts,18 cases were malignant and 31 cases were benign.The diagnostic accuracy of color doppler ultrasonography was 87.76%,higher than that of B ultrasonography(69.39%),and the difference was statistically significant(P<0.05).The resistance index(RI)and pulsation index(PI)of benign ovarian cyst were higher than those of malignant ovarian cyst,and the peak systolic blood flow velocity(Psv)of benign ovarian cyst was lower than that of malignant ovarian cyst,the difference was statistically significant(P<0.05).Conclusion The diagnostic accuracy of color doppler ultrasonography is higher,which is conducive to improving the diagnostic effect of ovarian cysts,and the characteristics of ovarian cysts can be identified through the changes of hemodynamic parameters,so as to guide the follow-up treatment.

关 键 词：卵巢囊肿 彩色多普勒超声 诊断价值 

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]