超声对卵巢良恶性肿瘤的鉴别诊断价值

目的探讨超声对卵巢良恶性肿瘤的鉴别诊断价值。方法对86例卵巢肿瘤患者的情况进行回顾性分析。根据所有患者的病理检查结果将患者分为2组,良性组48例,恶性组38例。所有的患者手术前均进行二维彩超和三维彩超检查,根据患者血管的分布、走行和分支的情况等特点将血管的类型进行分类,计算并记录血管形成指数(VI)、血流指数(FI)、血管形成-血流指数(VFI),并进行统计学分析。结果三维彩超诊断准确率高于二维彩超,差异具有统计学意义,P<0.05。三维彩超下恶性组的VI、FI和VFI值均高于良性组,差异具有统计学意义(P<0.05);恶性肿瘤中的Ⅰ型血管的比例低于良性组,Ⅲ型血管的比例高于良性组,差异具有统计学意义(P<0.05)。结论三维彩超用于卵巢良恶性肿瘤的鉴别诊断具有较高的准确度,而且影像学具有独特的特点,表现为肿瘤实质内的血管丰富,对卵巢良恶性肿瘤的诊断具有十分重要的临床意义,值得临床推广使用。

The Value of Ultrasonography in the Differential Diagnosis of Benign and Malignant Ovarian Tumors

Objective To evaluate the value of uhrasonography in the differential diagnosis of benign and malignant ovarian tumors.Methods 86 cases of ovarian tumors were retrospectively analyzed.According to the pathological examination results,all patients were divided into 2 groups,benign group 48 cases,malignant group 38 cases.All patients before surgery received two-dimensional ultrasound and three-dimensional color doppler ultrasound examination,according to the distribution,branches and features of vessels in patients to classify the type of vascular,calculate and record the blood vessel formation index(Ⅵ),flow index (FI),the formation of blood vessels flow index (VFI),with statistical significance.Results Three-dimensional color doppler ultrasound diagnosis accurate rate was significantly higher than two-dimensional color doppler ultrasound and P ＜ 0.05,the difference was statistically significant;malignant group Ⅵ,FI and VFI values were higher than those in benign group,both P ＜ 0.05,the difference was statistically significant;the proportion of malignant tumor in type Ⅰ vascular lower than benign group,the proportion of the blood vessels of the type Ⅲ than in the benign group and P ＜ 0.05,the difference was statistically significant.Conclusion The three-dimensional color doppler ultrasound has high accuracy for differential diagnosis of benign and malignant ovarian tumors and its imaging has unique characteristics,the tumor parenchyma is rich in blood vessels,which has very important clinical significance in the diagnosis of benign and malignant ovarian tumors,it is worthy of clinical use.