卵巢囊肿蒂扭转行彩色多普勒超声对患者诊断准确率的影响分析

Analysis of the Influence of Ovarian Cyst Torsion Color Doppler Ultrasound on the Diagnostic Accuracy of Patients

目的 探讨对卵巢囊肿蒂扭转患者选择彩色多普勒超声方法完成疾病诊断后获得的准确率。方法 方便选择该院于2016年6月-2018年10月收治的120例卵巢囊肿蒂扭转患者作为实验对象;于临床对其首先展开经腹部超声检查,完成后对其展开经阴道超声检查,就诊断准确率以及图像特征进行对比分析。结果 对于该次研究收集的120例卵巢囊肿蒂扭转患者,临床对其实施经腹部超声诊断期间,诊断正确患者90例(75.00%);诊断误诊患者30例(25.00%);对其实施经阴道超声诊断期间,诊断正确患者115例(95.83%);诊断误诊患者5例(4.17%);经阴道超声组卵巢囊肿蒂扭转患者诊断准确率(95.83%)高于经腹部超声组(75.00%)差异有统计学意义(χ^2=20.906,P<0.05);对患者完成经腹部超声检查后,就其图像特征进行分析:主要于患者一侧下腹部或者中腹部位置表现出肿块现象,主要体现为单纯无回声肿块、实性肿块与混合型回声肿块3方面。诸多体现为直径约为51 mm以及中等大小肿块,呈现出较差内透声度的现象;对患者盆腔情况加以观察,部分表现出游离性暗液区少量的现象;对患者完成经阴道腹部超声检查后,就其图像特征进行分析:卵巢囊肿壁呈现出增厚水肿的现象,表现出较差的内透声度,内部能够发现团块回声、絮状回声与斑点状回声的现象。肿块诸多存在移动性;针对扭转血管蒂特征进行分析,主要表现出麻花状、绳状以及漩涡征的现象。部分患者动脉频谱或者静脉频谱会被探及。结论 卵巢囊肿蒂扭转患者在接受诊断期间,彩色多普勒超声方法的应用,应用价值明显,并且同经腹部超声比较,经阴道超声诊断准确率显著,对于团块回声、絮状回声与斑点状回声等现象可以有效明确,可为卵巢囊肿蒂扭转患者的早期确诊奠定,实现病症早期治疗,最终对于卵巢囊肿蒂扭转患者的康复加快,奠定基础。

Objective To investigate the accuracy of the diagnosis of ovarian cyst torsion patients after color Doppler ultrasound.Methods 120 patients with ovarian cyst torsion who were collected from June 2016 to October 2018 were convenient selected as subjects.In the clinic,abdominal ultrasound was performed first.After completion,transvaginal ultrasonography was performed to diagnose Accuracy and image characteristics were compared and analyzed.Results For the 120 patients with ovarian cyst pedicles collected in this study,90 patients(75.00%)were diagnosed correctly during the diagnosis of abdominal ultrasound,and 30 patients(25.00%)were diagnosed with misdiagnosis.During vaginal ultrasound diagnosis,115 patients(95.83%)were diagnosed correctly;5 patients(4.17%)were diagnosed with misdiagnosis;the diagnostic accuracy of ovarian cyst torsion in the transvaginal ultrasound group(95.83%)was higher than that in the transabdominal ultrasound group(75.00%).The differents was statistically significant(χ^2=20.906,P<0.05);after the patient completed the transabdominal ultrasonography,the image characteristics were analyzed:mainly in the lower abdomen or mid-abdominal position of the patient side,the phenomenon of mass was mainly manifested as simple echoless There are three aspects of mass,solid mass and mixed echo mass.Many manifestations of a diameter of about 51mm and a medium-sized mass,showing a poor internal sound permeability;observed in the patient's pelvic conditions,some showed a small phenomenon in the free dark liquid area;complete transvaginal ultrasound examination of the patient After that,the image characteristics were analyzed:the ovarian cyst wall showed thickening edema,showing poor internal sound permeability,and the phenomenon of clump echo,floc echo and spotted echo could be found inside.There are many mobility of the masses;the analysis of the characteristics of the torsion vascular pedicles mainly shows the phenomenon of twist,rope and vortex.In some patients,the arterial spectrum or vein spectrum will be detected.Conclusion The application of color Doppler ultrasound in patients with ovarian cyst torsion is significant,and the accuracy of transvaginal ultrasound diagnosis is significant compared with transabdominal ultrasound.For clump echo,floc echo and spot Echo-echo and other phenomena can be effectively clarified,which can be used for the early diagnosis of ovarian cyst pedicle torsion patients,to achieve early treatment of the disease,and finally to accelerate the recovery of ovarian cyst pedicle patients,laying the foundation.