经腹联合经阴道彩超对卵巢肿瘤的诊断价值分析

Value analysis of transabdominal combined with transvaginal color Doppler ultrasound in the diagnosis of ovarian tumors

目的探究经腹联合经阴道彩超对卵巢肿瘤的诊断价值。方法85例卵巢肿瘤患者,分别对其实施经腹彩超、经阴道彩超及经腹联合经阴道彩超检查,将术后病理学检查结果作为诊断金标准,对比三种检查方法对卵巢肿瘤的诊断结果及良恶性肿瘤患者的血流动力学指标[平均流速(Vm)、收缩期峰值流速(Vps)、阻力指数(RI)、搏动指数(PI)]。结果85例患者经术后病理诊断,62例(72.94%)确诊为良性卵巢肿瘤,23例(27.06%)为恶性肿瘤。其中,经腹联合经阴道彩超检查的诊断准确率为97.65%(83/85)、灵敏度为98.39%(61/62)、特异度为95.65%(22/23);经腹彩超检查的诊断准确率为78.82%(67/85)、灵敏度为85.48%(53/62)、特异度为60.87%(14/23);经阴道彩超检查的诊断准确率为82.35%(70/85)、灵敏度为88.71%(55/62)、特异度为65.22%(15/23);经腹联合经阴道彩超检查的诊断准确率、灵敏度及特异度均高于经腹彩超和经阴道彩超检查,差异有统计学意义(P<0.05)。良性卵巢肿瘤患者Vm、Vps显著小于恶性卵巢肿瘤患者,RI、PI则明显大于恶性卵巢肿瘤患者,差异有统计学意义(P<0.05)。结论相比于单纯经腹、经阴道彩超检查,经腹联合经阴道彩超检查对卵巢肿瘤患者有着更高的诊断准确率及灵敏度,且属于无创检查,可为卵巢肿瘤的早期诊断及临床治疗提供可靠参考,值得推广及应用。

Objective To investigate the value of transabdominal combined with transvaginal color Doppler ultrasound in the diagnosis of ovarian tumors.Methods 85 patients with ovarian tumors were examined by transabdominal color Doppler ultrasound,transvaginal color Doppler ultrasound and transabdominal combined with transvaginal color Doppler ultrasound.The postoperative pathological findings were used as the gold standard for diagnosis,and the diagnostic results of ovarian tumors and the hemodynamic indices[mean flow velocity(Vm),peak systolic flow velocity(Vps),resistance index(RI),and pulsatility index(PI)]in patients with benign and malignant tumors were compared among the three examination methods.Results After postoperative pathological diagnosis in 85 patients,62 cases(72.94%)were diagnosed as benign ovarian tumors and 23 cases(27.06%)as malignant tumors.Among them,the diagnostic accuracy of transabdominal combined with transvaginal Doppler ultrasound was 97.65%(83/85),sensitivity was 98.39%(61/62),and specificity was 95.65%(22/23).The diagnostic accuracy of transabdominal color ultrasound was 78.82%(67/85),the sensitivity was 85.48%(53/62),and the specificity was 60.87%(14/23);the diagnostic accuracy of transvaginal color ultrasound was 82.35%(70/85),the sensitivity was 88.71%(55/62),and the specificity was 65.22%(15/23).The diagnostic accuracy,sensitivity and specificity of transabdominal combined with transvaginal color Doppler ultrasound were higher than those of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound alone,and the difference was statistically significant(P<0.05).The Vm and Vps of patients with benign ovarian tumor were significantly lower than those of patients with malignant ovarian tumor,while RI and PI were significantly higher than those of patients with malignant ovarian tumor,and the difference was statistically significant(P<0.05).Conclusion Compared with simple transabdominal and transvaginal color Doppler ultrasound,transabdominal combined with transvaginal color Doppler ultrasound has higher diagnostic accuracy and sensitivity in patients with ovarian tumor,and belongs to non-invasive examination,which can provide reliable reference for early diagnosis and clinical treatment of ovarian tumor,and is worthy of promotion and application.