| 常才,张钰华,王诚,叶蓉,周毓青.75例附件肿块彩色多普勒超声检查分析[J].中国医学影像技术,1994,10(4):250~252 |
| 75例附件肿块彩色多普勒超声检查分析 |
| Analysis of Color Doppler Ultrasonographic Examination in 75 casese Appendix Mass |
| 投稿时间：1994-06-13 |
| DOI： |
| 中文关键词: 卵巢肿瘤 彩色多普勒超声 |
| 英文关键词:Ovarian tumor Color Doppler Ultrasound |
| 基金项目: |
| 作者 | 单位 | | 常才 | Obstet & Gynecol Hospital, Shanghai Medical University, 200011 | | 张钰华 | Obstet & Gynecol Hospital, Shanghai Medical University, 200011 | | 王诚 | Obstet & Gynecol Hospital, Shanghai Medical University, 200011 | | 叶蓉 | Obstet & Gynecol Hospital, Shanghai Medical University, 200011 | | 周毓青 | Obstet & Gynecol Hospital, Shanghai Medical University, 200011 |
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| 摘要点击次数: 1894 |
| 全文下载次数: 662 |
| 中文摘要: |
| 本文分析我院1992年7月～1993年12月期间75例经彩色多普勒超声检查，且有病理证实的附件肿块。结果显示，内膜样囊肿22例，炎性肿块11例，中肾管囊肿7例，良性卵巢肿瘤18例，恶性卵巢肿瘤21例。彩色多普勒超声显示良性肿块内部无血管，或很少。恶性肿瘤内部血管分布呈网状或团块状。多普勒频谱分析，恶性卵巢肿瘤搏动指数（PI）0.78±0.47,阻力指数（RI）0.47±0.16,显着低于内膜样囊肿PI1.56±1.09,RI0.57±0.21,中肾管囊肿PI2.60±1.75,RI0.80±0.26,炎性肿块PI1.25±0.69,RI0.63±0.12和良性卵巢肿瘤PI1.92±1.02,RI0.75±0.19（P<0.05）,良性病变中阻力指标差异无显着性。以PI≤1.00诊断卵巢癌敏感性76.2%,特异性83.3%,阳性预测值64%,阴性预测值90%,RI≤0.6诊断卵巢癌敏感性71.4%,特异性79.6%,阳性预测值57.7%,阴性预测值87.8%,提示彩色多普勒超声在早期诊断卵巢癌方面具有一定的价值。 |
| 英文摘要: |
| We analysised 75 cases adnexal masses of color Doppler ultrasonoghrapic examination,and comfirmed by hostipathology examination.Results as:endometistic cyst 22 cases,inflammatory massll cases,Wolffian ductal cyst 7 cases,begnin ovarian tumor 18 cases and malignant ovarian tumor 21 cases.In the begnin masses,there were no or less vessles,and there were network or mass vessels in malignant.Endometistic cyst artery PI 1.56±1.09, RI 0.57±0.21;wolffian ductal cyst artery PI 2.60±1.75,RI 0.80±0.26;inflammatory mass artery PI 1.25±0.69,RI 0.63±0.12;and begnin ovarian tumor artery;PI 1.92±1.02,RI 0.75±0.29 were all greater than malignant ovarian artery PI 0.78±0.47,RI 0.47±0.16(P<0.05).If PI was blow 1,malignant ovarian tumor were detected,sensitivity was 76.4%,specificity 83.5%,positive predictive value 64.O%,negative predictive value 90.0%.If RI 0.6,malignant ovarian tumor were detected sensitivity 71.4%,specificity 79.6%, positive predictive value 57.7%,and negative predictive value 87.8%.The results showed color Doppler ultrasound has a centain value in diagnosis in early malignant ovarian tumor. |
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