经阴道超声检查在卵巢囊肿患者中的诊断价值  

Diagnostic value of transvaginal ultrasonography in patients with ovarian cysts

作　　者：尹多 Yin Duo(Department of Ultrasound,Huai'an Maternal and Child Health Care Hospital,Huai'an 223002,China)

机构地区：[1]淮安市妇幼保健院超声科,江苏淮安223002

出　　处：《实用妇科内分泌电子杂志》2024年第14期84-86,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨卵巢囊肿患者接受经阴道超声检查的诊断价值。方法选择卵巢囊肿患者168例为研究对象,均接受经阴道超声检查。以病理结果为金标准,分析经阴道超声检查的诊断效能。结果168例卵巢囊肿患者的病理诊断结果显示,良性病变160例、恶性病变8例。经阴道超声检查的准确性、敏感性、特异性、阳性预测值及阴性预测值分别为98.21%(165/168)98.75%(158/160)、87.50%(7/8)、99.37%(158/159)77.78%(7/9),与病理结果比较,差异无统计学意义(P>0.05)。160例良性病变患者中,巧克力囊肿、卵巢冠囊肿、炎性卵巢囊肿、卵巢囊肿蒂扭转、卵巢黄体囊肿分别有71例、56例、18例、1例、14例,经阴道超声检查的阳性率分别为43.75%(70/160)、34.38%(55/160)、11.25%(18/160)、0.63%(1/160)、8.75%(14/160),与病理诊断结果比较,差异无统计学意义(P>0.05)。结论卵巢囊肿患者接受经阴道超声检查的诊断效能良好,诊断结果可为患者的治疗提供有效参考,值得临床推广使用。Objective To evaluate the diagnostic value of transvaginal ultrasonography in patients with ovarian cyst.Methods 168 patients with ovarian cysts were selected as the study subjects,and all of them received transvaginal ultrasonography.The diagnostic efficacy of transvaginal ultrasonography was analyzed with pathological results as the gold standard.Results The pathological diagnosis of 168 patients with ovarian cysts showed that 160 cases of benign lesions and 8 cases of malignant lesions.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of transvaginal ultrasonography were 98.21%(165/168),98.75%(158/160),87.50%(7/8),99.37%(158/159),77.78%(7/9),respectively,there were no significant differences between them and the pathological diagnosis results(P>0.05).Among the 160 patients with benign lesions,there were 71 cases of chocolate cyst,56 cases of ovarian crown cyst,18 cases of inflammatory ovarian cyst,1 case of pedicle torsion of ovarian cyst and 14 cases of luteal cyst of ovary,respectively.The positive rates of transvaginal ultrasonography were 43.75%(70/160),34.38%(55/160),11.25%(18/160),0.63%(1/160),8.75%(14/160),respectively,and there were no significant differences between them and the pathological diagnosis results(P>o.05).Conclusion Transvaginal ultrasonography has good diagnostic efficacy in patients with ovarian cysts,and the diagnostic results can provide effective reference for the treatment of patients,which is worthy of clinical popularization.

关 键 词：卵巢囊肿 经阴道超声 诊断效能 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.75[医药卫生—诊断学]