经阴道超声结合彩色多普勒超声在卵巢良恶性肿瘤诊断中的应用价值

Application value of transvaginal ultrasonography combined with color Doppler ultrasound in the diagnosis of benign and malignant ovarian tumor

目的探讨经阴道超声结合彩色多普勒超声在卵巢良性和恶性肿瘤诊断中的应用价值，以期为临床诊断和治疗卵巢肿瘤提供客观的理论依据。方法选取2013年1月至2015年1月于我院就诊的卵巢肿瘤患者作为本研究观察对象，均实施阴道超声和彩色多普勒超声检查，分析良恶性肿瘤的血流分布情况等，测定相关数值，进行肿瘤良恶性与病理诊断结果相对比。结果经超声评分结果显示，其中超声评分〈5分49例，和病理诊断符合率高达95．92％；超声评分超过5分13例，与病理诊断符合率为86．67％。超声检查显示，卵巢恶性肿瘤内部血流分型主要为Ⅲ型；而卵巢良性肿瘤血管血流分型则以Ⅰ、Ⅱ型为主。其中卵巢恶性肿瘤PSV显著高于卵巢良性肿瘤，RI则显著较低，差异有统计学意义（P〈0．05）。结论经阴道超声结合多彩色普勒超声对卵巢肿瘤良恶性判断有极其重要的指导性意义。

Objective To explore the application value of transvaginal ultrasonography combined with color Doppler ultrasound in the diagnosis of benign and malignant ovarian tumor, and provide objective theory basis for diagnosis and treatment of ovarian tumor. Methods Patients with ovarian tumor treated in our hospital from January 2013 to January 2015 were selected. They received transvaginal ultrasonography and color Doppler ultrasound examination. Analyzed the blood flow distribution of benign and malignant ovarian tumor, tested related value and made a comparison with pathological diagnosis results. Results According to ultrasound examination, there were 49 cases 〈5 score; the diagnosis accordance rate with pathological diagnosis was 95.92%. There were 13 cases 〉5 score; the diagnosis accordance rate with pathological diagnosis was 86.67%. According to ultrasound examination, major internal blood flow of malignant ovarian tumor was type Ⅲ; major internal blood flow of benign ovarian tumor was type Ⅰ and type Ⅱ. PSV of malignant ovarian tumor was higher than that of benign ovarian tumor, while RI was lower （P〈0.05）. Conclusion Transvaginal ultrasonography combined with color Doppler ultrasound is of great significance in the diagnosis of benign and malignant ovarian tumor.