常规超声联合介入性超声在原发性卵巢癌腹膜转移中的诊断价值

Diagnostic Value of Conventional Ultrasonography Combined with Interventional Ultrasonography in Peritoneal Metastasis of Primary Ovarian Cancer

目的分析对比常规超声、介入性超声及两者联合检查在原发性卵巢癌腹膜转移中的诊断价值。方法分析2018年3月至2020年3月期间在濮阳市濮阳县仁济医院诊治的156例疑似卵巢癌腹膜转移患者临床资料,全部患者接受常规超声、介入性超声检查,将超声引导下穿刺活检结果作为诊断金标准,评估两种诊断方法及联合诊断的灵敏度、特异度及准确度。结果常规超声与介入性超声诊断敏感度、特异度、准确度比较,差异无统计学意义(P>0.05);联合诊断敏感度、特异度、准确度均高于常规超声、介入性超声单一诊断敏感度、特异度、准确率,差异有统计学意义(P<0.05)。结论常规超声联合介入性超声诊断原发性卵巢癌腹膜转移,诊断特异性、灵敏度颇佳,为临床医生确诊提供有效根据,应用价值高。

Objective To analyze and compare the diagnostic value of conventional ultrasound,interventional ultrasound and their combination in peritoneal metastasis of primary ovarian cancer.Methods The clinical data of 156 patients with suspected ovarian cancer peritoneal metastasis were diagnosed and treated in the hospital from March 2018 to March 2020 were analyzed.All patients received conventional ultrasound and interventional ultrasonography.The results of ultrasound-guided needle biopsy were used as the gold standard for diagnosis.Sensitivity,specificity and accuracy of the two diagnostic methods and their combined diagnosis were accessed.Results There were no significant differences in diagnostic sensitivity,specificity and accuracy between conventional ultrasound and interventional ultrasound(P>0.05).The sensitivity,specificity and accuracy of combined diagnosis are higher than those of conventional ultrasound and interventional ultrasound and the differences were statistically significant(P<0.05).Conclusion Conventional ultrasound combined with interventional ultrasound in the diagnosis of peritoneal metastasis of primary ovarian cancer has good diagnostic specificity and sensitivity,which provides effective basis for the diagnosis of clinicians and has high application value.