经腹及经阴道彩色超声诊断卵巢肿瘤的临床价值

The Clinical Value of Transabdominal and Transvaginal Color Ultrasound in the Diagnosis of Ovarian Tumors

目的:探究经腹超声和阴道超声诊断卵巢肿瘤的价值。方法:选在2018年1月~2019年10月到本院进行检查的疑似卵巢肿瘤患者98例作为调查对象进行调查,对所有研究对象均进行经腹超声和阴道超声诊断,并且将经腹超声诊断和阴道超声诊断的结果和临床病理结果进行比较,评价两种不同超声诊断的价值。结果:本文98例疑似卵巢肿瘤患者经过临床病理诊断,确诊为卵巢肿瘤患者95例,3例患者为子宫内膜病变,诊断率为96.94%;95例患者当中存在有黏液性腺囊瘤22例,浆液性腺囊瘤20例,纤维上皮瘤18例,内膜样囊腺瘤18例,囊性畸胎瘤17例;经腹部超声诊断检出92例,检出率为93.88%,敏感度为95.79%,特异度为66.67%,准确度为94.90%;经阴道超声检出93例,检出率为94.90%,敏感度为96.84%,特异度为66.67%,准确度为95.92%;对阴道超声和腹部超声的检出情况进行比较,两组之间无明显差异,P>0.05,不存在统计学意义。结论:临床进行卵巢肿瘤诊断的过程中通过经腹部超声和经阴道超声诊断均能够发挥理想的诊断效果,可以作为临床的辅助诊断手段进行推广应用,诊断过程中可根据患者实际情况合理选择。

Objective:To explore the value of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of ovarian tumors.Methods:From January 2018 to October 2019,98 patients with suspected ovarian tumor who came to our hospital for examination were selected as the objects of investigation.All the subjects were diagnosed by transabdominal ultrasound and vaginal ultrasound,and the results of transabdominal ultrasound and vaginal ultrasound were compared with the clinical pathological results to evaluate the value of two different ultrasound diagnosis.Results:98 patients with suspected ovarian tumors were diagnosed by clinicopathology,95 patients were diagnosed with ovarian tumors,3 patients were endometrial lesions,the diagnosis rate was 96.94%;among the 95 patients,22 cases of mucinous cystic tumors existed.There were 20 cases of serous adencystoma,18 cases of fibroepithelioma,18 cases of endometrioid cystadenoma,and 17 cases of cystic teratoma;92 cases were detected by abdominal ultrasound,the detection rate was 93.88%,and the sensitivity was 95.79%,the specificity was 66.67%,and the accuracy was 94.90%;93 cases were detected by transvaginal ultrasound,the detection rate was 94.90%,the sensitivity was 96.84%,the specificity was 66.67%,and the accuracy was 95.92%;comparing the detection of vaginal ultrasound and abdominal ultrasound,there was no significant difference between the two groups,P>0.05,there was no statistical significance.Conclusion:In the process of clinical diagnosis of ovarian tumor,transabdominal ultrasound and transvaginal ultrasound can play an ideal role in the diagnosis,and can be used as a clinical auxiliary diagnostic means.In the process of diagnosis,it can be reasonably selected according to the actual situation of patients.