超声对绝经后妇女盆腔肿物的诊断价值及临床分析

Clinical value of ultrasonography in the diagnosis of pelvic masses in postmenopausal women

目的探讨超声在绝经后妇女盆腔肿物诊断中的价值及临床分析。方法选取收治的47例绝经后妇女肿物患者临床及影像学资料,进行回顾性分析。结果 47例患者盆腔肿物均为单侧病变,其中恶性10例(21.3%),良性29例(61.7%),生理性8例(17.0%),合并内膜病变9例;良性病变多为囊性,占67.56%;恶性病变多表现为混合性及实性,占90%。恶性病变临床表现发生率明显高于良性病变,差异有统计学意义(P<0.05)。超声诊断与病理诊断对照,良恶性病变诊断准确率分别为89.1%、80%,2组比较差异无统计学意义(P>0.05)。结论超声检查能快速、有效地鉴别绝经后妇女盆腔肿物的性质,应作为妇女盆腔肿物筛查的首选方法。

Objective To study the value and clinical manifestation of pelvic tumor in postmenopausal women. Methods The clinical and imaging data of 47 patients with pelvic mass after menopause were retrospectively analyzed. Result 47 cases of pelvic tumors were unilateral lesions,including 10 malignant cases （21.3%） ,29 cases were benign（61.7% ） ,8 cases（ 17% ） ,physiological of 9 cases with endometrial lesions. Benign lesions were cystic, accounted for 67.56%. Malignant lesions were mixed and solid, accounted for 90%. The chnical manifestations of malignant lesions was significantly higher than that in benign lesions, the difference was statisticat- ly significant（ P 〈 0.05 ）. Ultrasound diagnosis Contrasted with the pathological diagnosis, the accuracy rate of diagnosis of benign and malignant lesions were 89.1% and 80%, two groups had no significant difference （ P 〉 0.05 ）. Conclusion Ultrasonography can quickly and effectively identify the nature of pelvic mass in postmenopausal women and should be used as the first choice for the screening of pel- vlc tumors m women.