经腹部联合经阴道超声在良恶性卵巢肿瘤鉴别诊断中的价值研究

The value of combined transabdominal and transvaginal ultrasound in the differential diagnosis of benign and malignant ovarian tumor

目的:探究在对良恶性卵巢肿瘤鉴别诊断过程中按照经腹部超声联合经阴道超声进行诊断的价值。方法:选取2022年3月—2023年4月金乡县人民医院收治的60例卵巢肿瘤患者为对象,入院后均进行经腹部超声、经阴道超声诊断,并将超声诊断结果与病理诊断结果对比。分析单一诊断和联合诊断的准确率、特异度、灵敏度等方面的差异。结果:联合诊断的灵敏度、准确率均高于单一诊断(P<0.05),但联合诊断与单一诊断的特异度比较,差异无统计学意义(P>0.05)。恶性肿瘤患者的血流最大峰值、平均流速、搏动指数、阻力指数均低于良性肿瘤患者(P<0.05)。良性肿瘤、恶性肿瘤血流信号分布对比,差异有统计学意义(P<0.05)。结论:在对良恶性卵巢肿瘤鉴别诊断过程中按照经腹部超声联合经阴道超声进行诊断,可以有效提升临床对该部分患者的诊断准确率、特异度、灵敏度,有助于患者迅速进行确诊。

Objective To explore the value of transabdominal ultrasound combined with transvaginal ultrasound in the differential diagnosis of benign and malignant ovarian tumors.Methods 60 patients with ovarian tumors admitted to Jinxiang County People's Hospital from March 2022 to April 2023 were selected as the subjects.After admission,transabdominal ultrasound and transvaginal ultrasound were performed,and the ultrasound diagnosis results were compared with pathological diagnosis,to analyze the differences in accuracy,specificity,sensitivity,and other aspects between single diagnosis and combined diagnosis.Results The sensitivity and accuracy of joint diagnosis were higher than those of single diagnosis(P<0.05),but there was no statistically significant difference in the specificity between joint diagnosis and single diagnosis(P>0.05).The maximum peak blood flow,average flow velocity,pulsatility index,and resistance index of patients with malignant tumors were lower than those of patients with benign tumors(P<0.05).The difference in blood flow signal distribution between benign and malignant tumors was statistically significant(P<0.05).Conclusion In the differential diagnosis of benign and malignant ovarian tumors,the combination of transabdominal ultrasound and transvaginal ultrasound can effectively improve the accuracy,specificity,and sensitivity of clinical diagnosis for this group of patients,and help patients quickly make a diagnosis.