介入性超声与常规超声在原发性卵巢癌腹膜转移诊断中的应用分析

Application analysis of interventional ultrasound and conventional ultrasound in the diagnosis of peritoneal metastasis of primary ovarian cancer

目的比较介入性超声与常规超声在原发性卵巢癌(POC)腹膜转移中的诊断价值。方法选择我院收治的疑似POC腹膜转移患者104例,患者均于术前行常规超声及介入超声检查。将手术病理作为最终诊断的金标准,观察介入性超声与常规超声诊断POC腹膜转移的价值,并比较两种技术诊断的敏感度、特异度、阴性与阳性预测值、符合率。同时,观察介入性超声的并发症情况。结果经手术病理检查显示,本组疑似POC腹膜转移患者阳性82例(78.85%),阴性22例(21.15%),其中介入性超声诊断阳性80例(76.92%),常规超声诊断阳性68例(65.38%)。介入性超声诊断POC腹膜转移的敏感度、特异度、阴性与阳性预测值、符合率均高于常规超声(P<0.05)。介入性超声检查后发生出血2例(1.92%),未见感染、血栓形成与针道种植转移病例。结论介入性超声对于POC腹膜转移的诊断效果优于常规超声,为后续规范化治疗提供了可靠的参考依据。

Objective To compare the effect of interventional ultrasound and conventional ultrasound in the diagnosis of peritoneal metastasis of primary ovarian cancer(POC).Methods 104 patients with suspected peritoneal metastasis of POC were examined by routine ultrasound and interventional ultrasound before operation.Taking surgical pathology as the gold standard for the final diagnosis,the results of interventional ultrasound and conventional ultrasound in the diagnosis of peritoneal metastasis of POC were observed,and the sensitivity,specificity,negative and positive predictive values and coincidence rates of the two techniques were compared.Meanwhile,the complications of interventional ultrasound were observed.Results Surgical pathology examination showed that 82 patients(78.85%)with suspected peritoneal metastasis of POC were positive and 22 patients(21.15%)were negative.Interventional ultrasound found 80 patients(76.92%)were positive and routine ultrasound found 68 patients(65.38%)were positive.The sensitivity,specificity,negative and positive predictive value and coincidence rate of interventional ultrasound in the diagnosis of peritoneal metastasis of POC were higher than those of conventional ultrasound,and the difference was statistically significant(P<0.05).Bleeding occurred in 2 cases(1.92%),and there were no cases of infection,thrombosis and needle implantation metastasis after interventional ultrasound.Conclusion Interventional ultrasound is better than conventional ultrasound in the diagnosis of peritoneal metastasis of POC,which provides a reliable reference for the follow-up standardized treatment.