经腹部超声和CT对卵巢瘤样病变定性、定量诊断的准确率分析

A ccuracy Rates of Qualitative and Quantitative Diagnosis of Ovarian Tumor-Like Lesions by Transabdominal Sonography and CT

目的分析经腹部超声(TAS)和计算机体层摄影(CT)对卵巢瘤样病变定性、定量诊断的准确率。方法选择2019年1月至2019年12月期间于我院接受检查高度疑似卵巢瘤样病变患者84例,均于术前1周进行TAS和CT检查。以术后病理结果为“金标准”,比较TAS和CT定性诊断准确性;以RI指数及CT值作为定量参数,绘制受试者工作特征(ROC)曲线分析TAS和CT定量诊断的价值。结果术后病理结果显示,84例患者中良性病变58例,恶性病变26例;CT检查定性诊断的准确率显著高于TAS检查,差异有统计学意义(P<0.05);良性病变RI指数显著高于恶性病变,CT值显著低于恶性病变,差异有统计学意义(P<0.05);ROC曲线分析显示,CT值定量诊断价值明显高于RI指数。结论CT检查卵巢瘤样病变的定性、定量诊断中临床应用价值明显高于TAS检查。

Objective To analyze the accuracy rates of qualitative and quantitative diagnosis of ovarian tumor-like lesions by transabdominal sonography(TAS)and computed tomography(CT).Methods 84 patients with highly suspected ovarian tumor-like lesions who were examined in the hospital between January and December 2019 were selected as the subjects.All of them completed TAS and CT examinations at 1 week before surgery.With postoperative pathological results as the golden standard,the qualitative diagnosis accuracy rates of TAS and CT were compared.With RI and CT value as the quantitative parameters,the receiver operating characteristic(ROC)curve was used to analyze the value of TAS and CT quantitative diagnosis.Results Postoperative pathological results showed that among the 84 patients,there were 58 with benign lesions and 26 with malignant lesions.The qualitative diagnosis accuracy of CT was significantly higher than that of TAS(P<0.05).The RI of benign lesions was significantly higher than that of malignant lesions,and the CT value was significantly lower than malignant lesions(P<0.05).ROC curve analysis showed that the quantitative diagnostic value of CT value was significantly higher than RI.Conclusion The value of CT in the qualitative and quantitative diagnosis of ovarian tumor-like lesions is significantly higher than that of TAS.