良恶性卵巢肿瘤的多普勒超声特征及Alaczar超声评分鉴别价值

发布时间：2018-04-24 01:34

  本文选题：超声 + 卵巢　； 参考：《医学综述》2016年22期

【摘要】：目的探讨超声形态学特征、血流动力学特征及Alaczar超声评分对良恶性卵巢肿瘤的鉴别诊断价值。方法选取2013年11月至2015年11月大连市妇幼保健院妇科诊治的卵巢原发性肿瘤患者170例,其中卵巢恶性肿瘤85例,卵巢良性肿瘤85例。观察良恶性卵巢肿瘤的超声声像图特征,比较良恶性卵巢肿瘤Alaczar超声评分、血流阻力指数(RI)及中心血流的差异。以病理学结果为金标准,观察Alaczar超声评分对恶性卵巢肿瘤的诊断效力。结果卵巢恶性肿瘤Alaczar超声评分显著高于卵巢良性肿瘤[(6.27±1.91)分比(3.56±1.02)分],RI显著低于卵巢良性肿瘤[(0.42±0.12)分比(0.59±0.16)分],其存在中心血流的比例显著高于卵巢良性肿瘤[54.1%(46/85)比30.6%(26/85)],差异有统计学意义(P0.05)。临床分期Ⅲ~Ⅳ期临床恶性肿瘤Alaczar超声评分显著高于临床分期Ⅰ~Ⅱ期者[(5.91±1.85)分比(6.78±1.98)分],差异有统计学意义(P0.05)。以手术病理及穿刺细胞学结果为金标准,Alaczar超声评分对卵巢恶性肿瘤诊断灵敏度、特异度、阳性预测率、阴性预测率及准确度分别为90.6%、88.2%、88.5%、90.4%和89.4%,均高于RI(71.8%、52.9%、60.4%、65.2%、62.4%)及中心血流(83.5%、64.7%、70.3%、79.7%、74.1%)。结论超声形态学特征、血流动力学特征及Alaczar超声评分可以为良恶性卵巢肿瘤鉴别诊断提供有价值的信息,其中Alaczar超声评分价值最高。
[Abstract]:Objective to study the value of ultrasonic morphology, hemodynamics and Alaczar in differential diagnosis of benign and malignant ovarian tumors. Methods from November 2013 to November 2015, 170 cases of primary ovarian tumor diagnosed and treated by Department of Gynecology in Dalian Maternal and Child Health Hospital were selected, including 85 cases of malignant ovarian tumor and 85 cases of benign ovarian tumor. The ultrasonographic features of benign and malignant ovarian tumors were observed, and the differences of Alaczar, RI and central blood flow in benign and malignant ovarian tumors were compared. The diagnostic efficacy of Alaczar ultrasound score on malignant ovarian tumors was observed by using pathological results as gold standard. Results the Alaczar ultrasound score of malignant ovarian tumors was significantly higher than that of benign ovarian tumors [6.27 卤1.91 vs 3.56 卤1.02] RI was significantly lower than that of benign ovarian tumors [0.42 卤0.12 vs 0.59 卤0.16], and the proportion of central blood flow in malignant ovarian tumors was significantly higher than that in benign ovarian tumors [54.14685 vs 30.6262685]. The Alaczar ultrasound score of clinical malignant tumor in stage 鈪，

本文编号：1794569