摘要
目的:探讨经阴道彩色多普勒超声检查对卵巢良、恶性肿瘤的鉴别诊断价值。方法:对76例卵巢肿瘤患者术前行经阴道彩色多普勒超声检查,分析瘤内血流分级、瘤内动脉血流参数。结果:卵巢良性肿瘤组血流以0级、Ⅰ级为主,占88.9%,恶性组以Ⅲ级为主,占71.2%,两组比较差异有统计学意义(P<0.05);交界性肿瘤患者血流以Ⅱ级、Ⅲ级为主,与良性肿瘤患者比较差异有统计学意义(P<0.05),与恶性肿瘤患者比较差异无统计学意义(P>0.05)。卵巢恶性肿瘤动脉血流阻力指数(RI)、搏动指数(PI)明显低于良性肿瘤患者(P<0.05)。结论:RI、PI、血管分级是鉴别卵巢良、恶性肿瘤的重要指标,对评价预后有一定的参考价值。
Objective： To explore value of transvaginal color doppler ultrasonography（TVCDU）in the differential diagnosis of benign and malignant ovarian tumor.Methods： A total of 76 patients with ovarian tumor underwent preoperative TVCDU to detect parameters including the vascular grading and arterial vascular parameters（PSV、EDV、RI、PI）.Results： 71.2% malignant ovarian tumors were categorized as hyper-vascularity（grade Ⅲ）,while 88.9% benign tumor were defined as grade 0 and Ⅰshowing significant difference between the two groups.Most borderline tumors were categorized as grade Ⅱand Ⅲ,significantly different from the benign tumor（P〈0.05） rather than the malignant ones（P〈0.05）.RI、PI of the malignant tumor was significant lower than that of the benign ones（P〈0.05）.Conclusions： RI、PI revealed under TVCDU are useful indicator for the differential diagnosis of ovarian tumors,it also has predictive significance for the prognosis of the disease.
出处
《海南医学院学报》
CAS
2011年第12期1713-1715,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110475)~~
关键词
卵巢肿瘤
经阴道彩色多普勒超声
阻力指数
搏动指数
Ovarian tumor
Transvaginal color doppler ultrasonography
Resistance index
Pulsatility index
