二维超声、彩色多谱勒超声及CA125检测诊断卵巢肿瘤的价值

The value of 2-D ultrasonography,color Doppler system and CA-125 in the diagnosis of ovary tumors

目的回顾性研究经腹及经阴道联合二维超声、彩色多谱勒RI值及CA125对卵巢肿瘤的诊断价值。方法337例卵巢肿瘤中良性237例,恶性86例,交界性14例。诊断均经手术病理证实。结果二维超声、RI值及CA125诊断卵巢良恶性肿瘤的敏感性为82.43%、53.13%、86.67%,特异性为91.96%、60.00%、87.16%。对I期肿瘤,三者的敏感性为65.22%、50.00%、71.43%。对交界性肿瘤,三者缺乏特异性和敏感性。结论以经腹及阴道联合二维超声为基础,多种方法联合检测可提高卵巢恶性肿瘤的诊断率,也是诊断早期恶性卵巢肿瘤的较好方法,但鉴别交界性卵巢肿瘤的意义不大。

Objective： To evaluate the value of the three techniques of 2 - D ultrasonography, color Doppler system and CA - 125 in the qualitative diagnosis of ovarian tumors. Methods： 337 cases were all operated upon and confirmed by pathology. 86 eases of them were proved to be malignant, 237 eases were proved to be benign and 14 cases borderline. Most of them were examined before operation by 2 - D （ transabdominal ＋ transvaginal） ultrasonography, transvaginal color Doppler uhrasonography to measure mPa - tumor blood flow resistance index （RI） and determination of serum CA125. ResuIts： As to malignant cases , the sensitivity of 2- D uhrasonography, RI and CA125 were 82. 43%, 53. 13 % and 86. 67% , respectively; the specificity were 91.96 % , 60. 00% and 87. 16% , respectively. And as to Ⅰ - stage malignant eases , the sensitivity of them were 65.22%, 50. 00% and 71.43%, respectively. ConcIusion： Multiple techniques on the basis of 2 - D ultrasonography can improve the correct diagnosis rate of ovary tumors. They are useful in the detection of early - stage malignant cases, but not to borderline cases.