引用本文:张晓红,朱丹茹,齐 东.绝经后妇女卵巢肿瘤的超声诊断价值[J].中国临床新医学,2015,8(9):833-835.
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绝经后妇女卵巢肿瘤的超声诊断价值
张晓红,朱丹茹,齐 东
475000 开封,河南大学淮河医院超声科
摘要:
[摘要] 目的 分析超声对绝经后妇女卵巢肿瘤的诊断价值。方法 回顾性分析2011-10~2014-10来该院就诊的56例绝经后卵巢肿瘤患者的超声诊断资料。结果 56例患者中71.4%(40/56)为良性肿瘤,28.6%(16/56)为恶性肿瘤。良性组以囊性为主,显著高于恶性组(P<0.01);在囊实性方面两者差异无统计学意义(P>0.05);在形态不规则、实性、壁结构异常、内部血流、腹水和阻力指数(RI)(<0.43)等指标声像图上恶性组均高于良性组,且差异具有统计学意义(均P<0.05)。超声诊断卵巢肿瘤的符合率为92.86%,灵敏度为97.37%,特异度为83.33%。结论 超声能够快速、有效地鉴别出绝经后妇女卵巢肿瘤的性质,应当作为卵巢肿瘤临床首选筛查手段。
关键词:  绝经后妇女  卵巢肿瘤  超声诊断
DOI:10.3969/j.issn.1674-3806.2015.09.10
分类号:R 445.1
基金项目:
The value of ultrasonic diagnosis on ovarian neoplasm in postmenopausal women
ZHANG Xiao-hong, ZHU Dan-ru, QI Dong
Department of Ultrasound, Huaihe Hospital of Henan University, Kaifeng 475000, China
Abstract:
[Abstract] Objective To analyze the diagnostic value of ultrasound for postmenopausal women with ovarian neoplasm.Methods The data of ultrasound in 56 patients with ovarian neoplasm were collected from October 2011 to October 2014.Results In the 56 patients, 40 cases were diagnosed as having benign tumors(71.4%), 16 cases as having malignant tumors(28.6%). Cystic tumors were significantly higher in the benign group than those in the malignant group(P<0.01); The ultrasonic features of the malignant group in shape, solid, wall structure, internal blood flow, ascites, and RI(<0.43) were higher than those in the benign group(P<0.05). Compared with the pastoperative pathological diagnosis, the ultrasonic diagnosis had an accuracy of 92.86%, with the sensitive rate in 97.37% and speciality rate in 83.33%.Conclusion Ultrasound can quickly and effectively identify the nature of ovarian neoplasm in postmenopausal women and may be used as the preferred clinical screening for ovarian masses.
Key words:  Postmenopausal women  Ovarian neoplasm  Ultrasonic diagnosis