摘要
①目的 探讨经阴道彩色多普勒超声在卵巢良、恶性肿瘤诊断中的价值。②方法 应用经阴道彩色多普勒超声观察 73例卵巢良、恶性肿瘤的声像图特征及血流情况。③结果 经手术和病理证实 ,73例中 6 8例为卵巢肿瘤 ,超声诊断符合率为 91% ,其中良性肿瘤 4 9例 ,声像图多呈囊性包块 ;恶性肿瘤 19例 ,声像图呈囊实混合性或实性包块。恶性肿瘤的血管脉搏指数、阻力指数明显低于良性肿瘤 ,差异有显著性 (t=3.2 9、5 .76 ,P <0 .0 1)。以脉搏指数 <1.0、阻力指数 <0 .4为临界值预测恶性肿瘤有较好的灵敏度和特异度。
Objective To evaluate the value of transvaginal color Doppler ultrasonography in the diagnosis of benign and malignant ovarian tumors. Methods The imaging features and the blood flow index of 73 benign and malignant ovarian tumors were viewed by transvaginal color Doppler ultrasonography. Results Of the 73 cases underwent sonography, 68 cases were confirmed by surgery and pathology to have ovarian tumors, the accuracy was 91%. In which, 49 were benign, characterized by multicystic masses, and 19 malignant, showed mixed cystic and solid or solid masses. The pulse index(PI) and resistance index(RI) of the malignant tumors were significantly lower than those of the benign ones (t=3.29,5.76;P<0.01). Take PI<1.0 and RI< 0.4 for critical value to predict malignant tumors showed higher sensitive and specific. Conclusion Transvaginal ultrasonography is of great value in the diagnosis of ovarian tumors.
出处
《齐鲁医学杂志》
2004年第5期387-388,共2页
Medical Journal of Qilu
关键词
超声检查
多普勒
彩色
卵巢肿瘤
诊断学
ultrasonography, Doppler, color
ovarian neoplasms
diagnostics
