原发性小卵巢癌应用超声和MRI诊断的价值观察

Diagnostic Value of Ultrasound and MRI for Primary Small Ovarian Cancer

目的分析超声和磁共振成像(MRI)对原发性小卵巢癌的诊断价值。方法选取郑州大学南阳市中心医院收治的72例卵巢小肿块患者,均行超声与MRI检查,以手术病理为"金标准",比较超声、MRI及超声联合MRI诊断原发性小卵巢癌准确性。结果超声诊断灵敏度71.43%,特异度73.33%,准确性72.22%,Kappa值0.44;MRI诊断灵敏度76.19%,特异度76.67%,准确性76.39%,Kappa值0.52;超声联合MRI诊断灵敏度95.24%,特异度93.33%,准确性94.44%,Kappa值0.89;超声联合MRI诊断原发性小卵巢癌灵敏度与准确性明显高于单纯超声、MRI(P<0.05)。结论超声联合MRI诊断原发性小卵巢癌优于单独采用超声、MRI,能够为患者临床诊治提供可靠信息指导,具有重要应用价值。

Objective To analyze the diagnostic value of ultrasound and magnetic resonance imaging(MRI)for primary small ovarian cancer.Methods 72 patients with small ovarian masses who were admitted to Nanyang Central Hospital of Zhengzhou University were enrolled.All underwent ultrasound and MRI.Ta king surgical pathology as the golden standard,the accuracy of ultrasound,MRI,and their combination to diagnose primary small ovarian cancer were compared.Results The sensitivity,specificity,accuracy,and Kappa value of ultrasound diagnosis were 71.43%,73.33%,72.22%,and 0.44,respectively.The above 4 indexes of MRI diagnosis indexes were 76.19%,76.67%,76.39%and0.52,respectively.The above 4 ultrasound combined indexes with M RI were 95.24%,93.33%,94.44%,and 0.89,respectively.The sensitivity and accuracy of ultrasound combined with MRI for diagnosis of prima ry small ovarian ca ncer were significantly higher than those of single ultrasound and MRI(P<0.05).Conclusion Ultrasound combined with MRI in the diagnosis of prima ry small ovarian cancer is superior to ultrasound and MRI alone,which can providing reliable information guidance for clinical diagnosis and treatment,and is of significant application value.