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彩色阴道超声鉴别附件肿瘤良恶性的价值
引用本文:胡越,陈小知,蔡莲莲,吕夕明,孙静. 彩色阴道超声鉴别附件肿瘤良恶性的价值[J]. 现代中西医结合杂志, 2003, 12(16): 1688-1690
作者姓名:胡越  陈小知  蔡莲莲  吕夕明  孙静
作者单位:温州医学院附属第二医院,浙江,温州,325027
基金项目:浙江省卫生厅科研课题 (2 0 0 0B0 4 3)
摘    要:目的 探讨彩色阴道超声鉴别附件肿瘤良恶性的价值。方法 对 90例附件肿瘤患者进行术前彩色阴道超声检查 ,对声像图行形态学特征分析及Lerner评分 ;同时用彩色多普勒检测血流 ,获得血流速度波形后计算出阻力指数 (RI)及搏动指数 (PI)。结果 良恶性肿瘤Lerner评分有显著性差异 (P <0 .0 0 1)。彩色多普勒良恶性肿瘤周边动脉血流显示率无显著性差异 (P >0 .0 5 ) ,内部血流显示率有显著性差异 (P <0 .0 5 ) ,良恶性肿瘤周边及内部动脉血流RI ,PI值有显著性差异 (P <0 .0 5 )。超声联合彩色多普勒判断肿瘤良恶的敏感性为 96 .4 % ,特异性为 93 5 % ,准确性为 94 .4 %。结论 彩色阴道超声是鉴别附件肿瘤良恶性及早期诊断卵巢癌的有效方法。

关 键 词:阴道超声  超声评分  彩色多普勒  附件肿瘤
文章编号:1008-8849(2003)16-1688-03
修稿时间:2003-01-27

Value of transvaginal ultrasonography on differentiation of malignant from benign adnexal masses
HU Yue,CHEN Xiao zhi,CAI Lian lian,LU Xi ming,SUN Jing. Value of transvaginal ultrasonography on differentiation of malignant from benign adnexal masses[J]. Modern Journal of Integrated Chinese Traditional and Western Medicine, 2003, 12(16): 1688-1690
Authors:HU Yue  CHEN Xiao zhi  CAI Lian lian  LU Xi ming  SUN Jing
Abstract:Objective It is to evaluate transvaginal ultrasonography to differentiate malignant from benign adnexal masses. Methods 90 patients with adnexal masses were examined with transvaginal ultrasonography before operation. Morphologic evaluation was performed and the total ultrasound score was calculated according to Lerner scoring system. Color Doppler gate was activated to identify vascular color signal within the masses. Resistance index (RI) and pulsatility index (PI) were calculated automatically. Results The difference of ultrasound score between benign and malignant masses was significant ( P <0 001). The difference of the rate of obtained color Doppler flow velocity waveform in the peripheral portion of masses between benign and malignant lesions was not significant ( P >0.05), but that in the central was significant ( P <0.05). The RI and the PI differences in both peripheral and central portion of masses between benign and malignant masses were significant ( P <0.05). Combined ultrasound scoring system with color Doppler in differentiating benign and malignant masses, the sensitivity, specificity and accuracy were 96.4%, 93.5% and 94.4% respectively. Conclusion Transvaginal ultrasonography is an effective method to differentiate benign from malignant adnexal masses.
Keywords:transvaginal ultrasonography  Lerner scoring system  color Doppler  adnexal masses
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