摘要
目的研究超声鉴别诊断绝经后妇女恶性盆腔包块的效能,探讨超声在绝经后妇女盆腔包块诊断中的价值。方法选取2011年1月至2013年1月有明确的病理以及临床诊断的120例绝经后盆腔包块患者作为研究对象,回顾性分析患者的临床资料以及超声声像图的特点。结果 120例绝经后盆腔包块患者中良性盆腔包块87例(72.5%),恶性包块33例(27.5%)。超声诊断绝经后妇女恶性盆腔包块的敏感度为93.9%,特异度为93.1%;其中良性盆腔包块的诊断符合率为97.4%,恶性盆腔包块的诊断符合率为81.1%,超声误诊10例(8.33%)。超声诊断绝经后妇女恶性盆腔包块受试者工作特征曲线(ROC曲线)下面积为0.870。结论超声在鉴别诊断绝经后妇女盆腔包块方面,具有无创、快速、灵敏度高等特点,具有较高的诊断价值,可以作为诊断绝经后妇女盆腔包块性质的首选检查方法。
Objective To study the differential diagnosis value of ultrasonic examination in malignant pelvic mass of postmenopausal women. Methods One hundred twenty postmenopausal patients with pelvic mass who wel, e treated in our hospital from January 2011 to January 2013 and their diagnosis was confirmed by both pathological and clinical diagnosis were evaluated in the study. The clinical and ultrasonic data of the patients were retrospectively analyzed. Results Of the 120 patients with pelvic mass, benign pelvic mass was found in 87 （72.5 % ） and ma- hgnant pelvic mass in 33 （27.5%）. For ultrasonic diagnosis, the sensitivity and specificity were respectively 93.9% and 93.1% for malignant pelvic mass ; the diagnostic accordance rate of benign pelvic mass was 97.4%, and the rate of malignant pelvic mass was 81.1% ; the misdiagnosis rate was 8.33% （ 10 cases）. The area under ROC curve of ultrasonic in malignant pelvic mass of postmenopausal women was 0. 870. Conclusion Uhrasonography is noninvasive, fast and highly sensitive for the diagnosis of malignant pelvic mass in postmenopausal women. It is suggested that ultrasonography can be used as the first choice for differentiating benign from malignant pelvic mass in postmenopausal women.
出处
《临床和实验医学杂志》
2014年第3期213-216,共4页
Journal of Clinical and Experimental Medicine
