经腹部彩色多普勒超声在卵巢囊肿良恶性中的诊断价值  

Diagnostic value of transabdominal color Doppler ultrasound in benign and malignant ovarian cysts

作　　者：郑华平 ZHENG Huaping(Color Ultrasonic Room,Pingyuan County Longmen Street Office Community Health Service Center,Shandong Province,Pingyuan 253100,China)

机构地区：[1]山东省平原县龙门街道办事处社区卫生服务中心彩超室,山东平原253100

出　　处：《妇儿健康导刊》2024年第15期100-103,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析经腹部彩色多普勒超声在卵巢囊肿(OC)良恶性中的诊断价值。方法回顾性分析2021年3月至2022年4月在平原县龙门街道办事处社区卫生服务中心接受经腹部彩色多普勒超声检查的48例OC患者的临床资料,比较良性、恶性OC超声影像学特征及血流动力学情况。结果病理检查结果显示,良性OC 28例,恶性OC 20例。恶性OC影像学特征显示为肿块直径≤8 cm、麻花状和绳状血管蒂、无回声肿块、盆腔游离性暗液区及囊壁增厚的占比高于良性OC(P<0.05);恶性OC平均流速、收缩期峰值流速高于良性OC,阻力指数、搏动指数低于良性OC(P<0.05)。结论经腹部彩色多普勒超声检查能明确OC良恶性的影像学特征以及血流动力学。Objective To analyze the diagnostic value of transabdominal color Doppler ultrasound in benign and malignant ovarian cysts(OC).Methods The clinical data of 48 OC patients who underwent transabdominal color Doppler ultrasound examination in Pingyuan County Longmen Street Office Community Health Service Center from March 2021 to April 2022 were retrospectively analyzed.The ultrasound imaging characteristics and hemodynamics of benign and malignant OC were compared.Results Pathological examination showed that 28 cases were benign OC and 20 cases were malignant OC.The imaging characteristics of malignant OC showed that the proportions of mass diameter≤8 cm,twisted and cord-like vascular pedicles,anechoic mass,pelvic free dark fluid area,and cyst wall thickening were higher than those of benign OC(P<0.05).The average flow velocity,the peak systolic velocity of malignant OC were higher than those of benign OC,resistance index and pulsation index were lower than those of benign OC(P<0.05).Conclusion Transabdominal color Doppler ultrasound can identify the imaging characteristics and hemodynamics of benign and malignant OC.

关 键 词：经腹部彩色多普勒超声 卵巢囊肿 影像学特征 血流动力学 

分 类 号：R445[医药卫生—影像医学与核医学]