经阴道超声_____经阴道超声；_彩色多普勒能量图；

经阴道二维超声结合彩色多普勒能量图对卵巢小肿块的诊断价值

http://www.100md.com 《新疆医科大学学报》 2006年第2期

经阴道超声,,经阴道超声；,彩色多普勒能量图；,卵巢小肿块,1资料与方法,2结果,3讨论,参考文献：

     摘要：目的：评价经阴道二维超声(TVS)及彩色多普勒能量图(CDE)对卵巢小肿块的诊断价值。方法： 82例94枚卵巢小肿块采用TVS及CDE进行检测，分析TVS及CDE检测卵巢小肿块的灵敏度(Se)、特异度(Sp)、阳性预测值(PV+)、阴性预测值(PV-)、阳性似然比(LR+)、阴性似然比(LR-)，并分析了76枚卵巢良恶性肿块的临床参数及超声特点。结果：TVS及CDE诊断黄体血肿、成熟性畸胎瘤、巧克力囊肿及恶性卵巢小肿块的Se、PV+、LR+分别为80.0%、94.12%、59.20；95.24%、95.23%、69.53；82.35%、77.78%、15.85；81.82%、56.25%、9.70。绝经前后、有无腹水、CA125≥30 U/ml、Sassone评分≥9分及肿块实质内低阻血流在卵巢良恶性肿块鉴别中均有统计学意义(P<0.05)。结论：TVS结合CDE对卵巢良性畸胎瘤及黄体血肿有较高的诊断价值。以TVS二维形态学为基础结合CDE及临床多参数综合评价可提高卵巢恶性肿块的早期检出率。

    关键词：经阴道超声；彩色多普勒能量图；卵巢小肿块

    3Value of transvaginal Ultrasonography and color Doppler energy

    in diagnosis on small ovarian massesLIU Hongyan, LV Yongquan, XIANG Hong, et al

    (Department of Ultrasonography, The People′s Hospital of Xinjiang Uigur Autonomous Region,Xinjiang Medical University, Urumqi, 830054, China)

    Abstract: Objective: To evaluate application of transvaginal ultrasound (TVS) and color Doppler energy (CDE) in diagnosis on small ovarian masses. Methods: Eightytwo patients with 94 small ovarian masses were studied with TVS and CDE. The results were compared with the pathological diagnosiss or the followup regression within six months of the small adnexal masses. The sensitivity (Se), positive predictive value (PV+), positive likelihood ratio(LR+) and so on were analysed with TVS and CDE in diagnosis on small ovarian masses. The influence on differentiating the benign from malignant ovarian masses were evaluated about clinical techniques and ultrasonographic charcters of 76 ovarian masses. Results: The Se, PV+, LR+ of hemorrhagic corpora luteum, mature cystic teratomas, endometriomas and malignant ovarian masses were 80%, 94.12%, 59.20; 95.24%, 95.23%, 69.53; 82.35%, 77.78%, 15.85; 81.82%, 56.25%, 9.70, respectively. The differences about menopause,ascites, CA125≥30 U/ml, Sassone score ≥9 and the low RI in masses on differentiating the benign from malignant ovarian masses were obviously significant(P<0.05). Conclusions: TVS combining with CDE appears more predictive value in hemorrhagic corpora luteum and mature cystic teratomas. Early diagnosis rate of malignant ovarian masses can be improved by CDE and multiple clinical techniques on the basis of transvaginal ultrasonography. ......

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