女性盆腔肿瘤的超声表现及其临床价值

Sonographic Appearance of Women with Pelvic Tumor and Its Clinical Value

目的探讨女性盆腔肿瘤的超声表现及其诊断价值。方法选择我院收治的女性盆腔肿瘤患者50例,经病理检查证实为盆腔良性肿瘤38例,恶性肿瘤12例,分别观察盆腔良恶性肿瘤各种超声表现并记录下来。结果超声造影的灵敏度、特异度、阳性预测值、阴性预测值、正确率分别为91.7%、94.7%、84.6%、97.3%、94.0%,均高于阴道超声和彩超。盆腔良性肿瘤表现为高RI和高PI,盆腔恶性肿瘤表现为低RI和低PI,两者之间差异显著(P<0.05)。良性肿瘤组在始增时间、达峰时间、消退时间方面与恶性肿瘤组差别显著(P<0.05)。结论超声检查具有正确率高、灵敏度高、特异性强等特点。通过观察超声表现有助于盆腔恶性肿瘤的早期诊断。

Objective To investigate sonographic appearance of women with pelvic tumor and its clinical value. Meth- ods 102 women with pelvic tumor were selected according to pathological examination, benign group was 62 cases, cancer group was 40 cases. Sonographic appearance was observed. Results Sensitivity, specificity,positive predictive value,negative predictive value,and accuracy rate of CEUS were 91.7% ,94.7% ,84.6% ,97.3% ,94.0%. It was higher than transvaginal ultrasound and color Doppler. Benign group was manifested by high RI and PI, cancer group was manifested by low RI and low P1, there were sig- nificant differences （P 〈 O. 05 ）. Start increasing time, peak time, subside time of benign group had significant differences with those of cancer group （ P 〈 0.05 ）. Conclusion Uhrasonography has high accuracy, high sensitivity and specificity. Ultrasound performance is helpful for early diagnosis.