介入性超声用于鉴别诊断原发性卵巢癌腹膜转移的价值分析  

Analysis of the value of interventional ultrasound in differential diagnosis of peritoneal metastasis of primary ovarian cancer

作　　者：熊腾辉 吴金兰[1] 温丽红 XIONG Teng-hui;WU Jin-lan;WEN Li-hong(Sanming Hospital of Integrated Chinese and Western Medicine,Sanming 365000,China)

机构地区：[1]三明市中西医结合医院,365000

出　　处：《中国现代药物应用》2024年第18期68-71,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨原发性卵巢癌腹膜转移采用介入性超声进行鉴别诊断的价值。方法 96例疑似原发性卵巢癌腹膜转移患者,均进行常规超声、介入性超声检查。以手术病理作为金标准,统计两种方法的诊断结果 ,比较两种方法鉴别诊断的灵敏度、特异度、准确率;分析原发性卵巢癌腹膜转移的超声表现。结果 手术病理结果显示:原发性卵巢癌腹膜转移阳性81例(84.38%),阴性15例(15.63%)。常规超声诊断阳性72例,阴性24例;介入性超声诊断阳性81例,阴性15例。介入性超声对原发性卵巢癌腹膜转移鉴别诊断的灵敏度、特异度、准确率分别为98.77%、93.33%、97.92%,均显著高于常规超声的80.25%、53.33%、76.04%(P<0.05)。原发性卵巢癌腹膜转移超声表现主要为癌性腹水和转移性肿瘤结节,结节直径0.6~4.5 cm,平均(1.6±0.6)cm。大网膜有宽带状不均匀增厚,腹膜厚度最薄为0.36 cm。结论 采用介入性超声鉴别诊断原发性卵巢癌腹膜转移的价值显著,能够提高灵敏度、特异度、准确率,为后续治疗提供准确依据。Objective To explore the value of interventional ultrasound in differential diagnosis of peritoneal metastasis of primary ovarian cancer.Methods 96 patients with suspected peritoneal metastasis of primary ovarian cancer were subjected to conventional ultrasound and interventional ultrasound.With surgical pathology as the gold standard,the diagnostic results of the two methods were counted,and the sensitivity,specificity and accuracy of the differential diagnosis of the two methods were compared.The ultrasound findings of peritoneal metastasis of primary ovarian cancer were analyzed.Results The results of surgical pathology showed that 81 cases(84.38%)were positive for peritoneal metastasis of primary ovarian cancer,while 15 cases(15.63%)were negative.Conventional ultrasound diagnosed 72 positive cases and 24 negative cases;interventional ultrasound diagnosed 81 positive cases and 15 negative cases.The sensitivity,specificity and accuracy of interventional ultrasound for the differential diagnosis of peritoneal metastasis of primary ovarian cancer were 98.77%,93.33%and 97.92%,respectively,which were significantly higher than 80.25%,53.33%and 76.04%of conventional ultrasound(P<0.05).The ultrasound findings of peritoneal metastasis of primary ovarian cancer were mainly cancerous ascites and metastatic tumor nodules,with a diameter of 0.6-4.5 cm and an average of(1.6±0.6)cm.There was a wide band of uneven thickening of the greater omentum,and the thinnest peritoneal thickness was 0.36 cm.Conclusion The diagnostic value of interventional ultrasound in the differential diagnosis of peritoneal metastasis of primary ovarian cancer is significant,which can improve sensitivity,specificity and accuracy,and provide accurate basis for subsequent treatment.

关 键 词：介入性超声 原发性卵巢癌腹膜转移 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]