超声诊断卵巢囊肿性病变的特征性表现及临床价值分析  

Analysis of the characteristic manifestations and clinical value of ultrasound in the diagnosis of ovarian cystic lesions

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作  者:徐迎春 XU Ying-chun(Ultrasound Department,Chengwu County People's Hospital,Heze 274200,China)

机构地区:[1]成武县人民医院超声科,274200

出  处:《中国实用医药》2025年第3期73-75,共3页China Practical Medicine

摘  要:目的探讨超声诊断卵巢囊肿性病变的特征性表现及临床价值。方法选择84例卵巢囊肿性病变患者为研究对象,全部患者均行双侧卵巢超声检查。回顾性分析患者的超声声像图,对卵巢囊肿性病变做出定性诊断。以外科手术病理结果为金标准,分析超声对卵巢囊肿性病变性质的诊断效能;比较不同性质卵巢囊肿性病变的超声声像图表现。结果超声诊断卵巢恶性囊肿16例,良性囊肿68例。以外科手术病理结果为金标准,超声诊断卵巢恶性囊肿的灵敏度为92.31%,特异度为94.37%,准确率为94.05%。卵巢恶性囊肿双侧病变占比61.54%、形状不规则占比76.92%、囊壁增厚且毛糙占比92.31%、囊实性肿块占比84.62%、盆腔积液占比100.00%高于卵巢良性囊肿的19.72%、21.13%、8.45%、19.72%、33.80%,彩色多普勒超声下动脉频谱的阻力指数(0.43±0.19)与搏动指数(0.53±0.16)均低于卵巢良性囊肿的(0.82±0.14)、(1.47±0.39),差异有统计学意义(P<0.05)。结论不同性质卵巢囊肿性病变的超声征象呈现一定特征,可以为本病的鉴别诊断提供有价值的依据。超声对卵巢囊肿性病变良恶性的鉴别较为可靠,但少数病变的超声诊断准确率仍有待提高。Objective To explore the characteristic manifestations and clinical value of ultrasound in the diagnosis of ovarian cystic lesions.Methods 84 patients with ovarian cystic lesions were selected as the study subjects.All patients underwent bilateral ovarian ultrasound examination.Retrospective study of ultrasound images of patients to make a qualitative diagnosis.Analysis of the diagnostic efficacy of ultrasound for ovarian cystic lesions with surgical and pathological results as the gold standard.Comparison of the ultrasound manifestations of ovarian cystic lesions with different properties.Results Ultrasound diagnosis showed 16 cases of malignant ovarian cysts and 68 cases of benign ovarian cysts.With surgical and pathological results as the gold standard,the sensitivity of ultrasound diagnosis for ovarian malignant cysts was 92.31%,the specificity was 94.37%,and the accuracy was 94.05%.In patients with ovarian malignant cyst,bilateral lesions accounted for 61.54%,irregular shape accounted for 76.92%,cyst wall thickened and rough accounted for 92.31%,solid cystic mass accounted for 84.62%,and pelvic effusion accounted for 100.00%,which were higher than 19.72%,21.13%,8.45%,19.72%,and 33.80%in patients with benign ovarian cyst;the resistance index and pulsatility index of the arterial spectrum under color Doppler ultrasound were(0.43±0.19)and(0.53±0.16),which were lower than(0.82±0.14)and(1.47±0.39)in patients with benign ovarian cysts;the difference was statistically significant(P<0.05).Conclusion The ultrasound signs of ovarian cystic lesions with different properties present certain characteristics,which can provide valuable basis for the differential diagnosis of this disease.Ultrasound is relatively reliable in distinguishing benign and malignant ovarian cyst,but the accuracy of ultrasound diagnosis for a few lesions still needs to be improved.

关 键 词:卵巢囊肿性病变 超声检查 诊断效能 特征性表现 

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]

 

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