彩色多普勒超声在卵巢子宫内膜异位症和卵巢癌中的鉴别诊断及其相关指标分析

Differential diagnosis and correlation index analysis of color Doppler ultrasound in ovarian endometriosis and ovarian cancer

目的分析彩色多普勒超声在卵巢子宫内膜异位症(endometriosis,EMT)和卵巢癌中应用价值其相关指标分析。方法选取2018年6月至2021年6月山东省烟台市蓬莱中医医院妇科收治的40例EMT患者(卵巢EMT组)与40例卵巢癌患者(卵巢癌组)作为研究对象,两组均行彩色多普勒超声检查,计算超声诊断准确率,并分析超声成像特征。结果卵巢EMT组漏诊1例,误诊4例(畸胎瘤2例,单纯性囊肿1例,炎症积水1例),卵巢癌组漏诊2例,误诊4例(子宫浆膜下肌瘤1例,盆腔结核1例,浆膜下肌瘤1例,畸胎瘤1例);两组超声诊断准确率、肿块最大径比较差异无统计学意义;卵巢EMT组血管阻力指数(resistance index,RI)高于卵巢癌组,收缩期峰值血流速度(peak systolic velocity,PSV)慢于卵巢癌组,差异有统计学意义(P<0.05)。卵巢EMT组肿瘤分期Ⅰ型、Ⅱ型占比均低于卵巢癌组,Ⅲ型、Ⅳ型、Ⅴ型及Ⅵ型占比均高于卵巢癌组,差异有统计学意义(P<0.05)。结论超声检查能提高卵巢EMT和卵巢癌检查准确度,可将RI、PSV及临床症状作为参考依据,为后续治疗工作提供科学的参考依据。

Objective To analyze the differential diagnosis and correlation index analysis of color Doppler ultrasound in ovarian endometriosis(EMT)and ovarian cancer.Methods 40 EMT patients(the ovarian EMT group)and 40 ovarian cancer patients(the ovarian cancer group)admitted to the department of Gynecology of Penglai Hospital of Traditional Chinese Medicine from June 2018 to June 2021 were selected as the study subjects,both groups underwent color Doppler ultrasound examination to calculate the accuracy of ultrasound diagnosis and analyze the ultrasound imaging characteristics.Results There were 1 case of missed diagnosis and 4 cases of misdiagnosis(2 cases of teratomas,1 case of simple cyst,and 1 case of inflammatory hydrocephalus)in the ovarian EMT group,and 2 cases of missed diagnosis and 4 cases of misdiagnosis(1 case of uterine subserosal fibroid,1 case of pelvic tuberculosis,1 case of subserosal fibroid and 1 teratoma)in the ovarian cancer group,there were no statistically significant differences in the accuracy of ultrasound diagnosis and maximum diameter of the mass between the two groups of tumors;the resistance index(RI)in the ovarian EMT group was higher than that in the ovarian cancer group,and the peak systolic velocity(PSV)was lower than that in the ovarian cancer group,the difference was statistically significant(P<0.05).The levels of typeⅠand typeⅡin the ovarian EMT group were lower than those in the ovarian cancer group,while typesⅢ,Ⅳ,ⅤandⅥwere higher than those in the ovarian cancer group,the differences were statistically significant(P<0.05).Conclusion Ultrasonography can improve the accuracy of ovarian EMT and ovarian cancer detection,and can take RI,PSV and clinical symptoms as reference,providing scientific reference for follow-up treatment.