经腹部与经阴道彩超在卵巢肿瘤诊断中的应用

The Application of Trans-Abdominal Combined Trans-vaginal Color Ultrasonography in the Diagnosis of Ovary Tumors

目的:比较经腹部彩超(TAS)与腹部联合经阴道彩超(TAS+TVS)对卵巢肿瘤的诊断价值的不同。方法:对206例因卵巢肿瘤住院的患者行TAS与TAS联合TVS检查,并与手术后病理结果进行对照。结果:TAS诊断卵巢畸胎瘤125例,与手术病理诊断符合率为91.2%(114/125);卵巢浆液性囊腺瘤32例,符合率为90.6%(29/32);粘液性囊腺瘤11例,符合率为81.8%(9/11);卵巢原发性癌38例,符合率为63.1%(24/38)。TAS联合TVS诊断卵巢畸胎瘤133例,与手术病理诊断符合率为93.9%(125/133);卵巢浆液性囊腺瘤34例,符合率为94.1%(32/34);粘液性囊腺瘤12例,符合率为83.3%(10/12);卵巢原发性癌27例,符合率为66.7%(18/27)。两种方法比较差异有统计学意义(P<0.05)。结论:TAS与TVS检查在诊断卵巢肿瘤性质方面各有其优点和缺点,需相互结合与弥补,以提高与病理诊断的符合率。

Objective：To explore different values on the abdomen uhrasonography （TAS） and TAS combined trans-vaginal uhrasonography （TVS） in the diagnosis of ovary tumors.Method＇In 206 cases of patients hospitalized for ovary tumors by TAS and TAS combined TVS check, compared with pathological results after operation.Results：125 cases of ovarian teratoma diagnosed by TAS, and coincidence rate of surgical pathological diagnosis was 91.2% （114/125）. 32 cases of ovarian serous cystadenoma, the coincidence rate was 90.6% （29/32）. Mucinous cystadenoma in 11 cases, the coincidence rate was 81.8% （9/11）. Primary ovarian carcinoma 38 cases, the coincidence rate was 63.I% （24/38）. TAS and TVS diagnosed of 133 cases of ovarian teratoma, and coincidence rate of surgical pathological diag- nosis was 93.9% （125/133）. 34 cases of ovarian serous cystadenoma, the coincidence rate was 94.1% （32/34）. Muci- nous cystadenoma in 12 cases, the coincidence rate was 83.3% （10/12）. Primary ovarian carcinoma 27 cases, the co- incidence rate was 66.7%（18/27）.Conclusion：TAS check and TAS combined TVS check have their own advantages and disadvantages in the diagnosis nature aspects of ovary tumor. That should be combined with each other and offset each other, in order to improve the coincidence rate of pathological diagnosis.