经阴道三维超声自由解剖成像联合彩色多普勒对卵巢肿瘤良恶性的鉴别诊断价值.pdfVIP免费

􀅰临床分析􀅰经阴道三维超声自由解剖成像联合彩色多普勒对卵巢肿瘤良恶性的鉴别诊断价值翟哲刘丽王亚芹安徽省淮南东方医院集团总医院(２３２００１)摘要目的:探究经阴道三维超声自由解剖成像(OmniView)联合彩色多普勒超声对卵巢肿瘤良恶性的鉴别诊断价值.方法:回顾性收集本院２０１９年１月－２０２２年１２月就诊的８５例卵巢肿瘤患者临床资料,以手术病理结果为“金标准”,对比分析二维超声、三维超声及OmniView技术对卵巢癌的诊断效能,logistic回归分析卵巢癌发生危险因素.结果:８５例中病理证实卵巢恶性肿瘤３２例(恶性组),良性肿瘤５３例(良性组).恶性组患者病灶最大径大于良性组,内部回声囊实性或实性与内壁伴有乳头比例均高于良性组,超声参数阻力指数小于良性组,收缩期最高/舒张期最低峰值血流流速均大于良性组(均P＜０．０５).以病理结果为依据,阴道三维超声OmniView技术联合彩色多普勒诊断卵巢恶性肿瘤的敏感度、特异度、准确度(９３．８％、９８．１％、９６．５％)均高于阴道二维超声诊断(８４．４％、８１．１％、８２．４％)(P＜０．０５).logistic回归分析,肿瘤内部回声囊实性或实性、阻力指数小、收缩期最高峰值/舒张期最低峰值血流速度大是卵巢恶性肿瘤独立危险因素(P＜０．０５).结论:经阴道三维超声OmniView技术联合彩色多普勒对卵巢肿瘤良恶性具有较好的鉴别诊断价值.关键词卵巢肿瘤;良恶性;阴道三维超声;自由解剖成像;彩色多普勒;鉴别诊断;危险因素Valueoftransvaginalthree􀆼dimensionalultrasoundfreeanatomicimagingcombinedwithcolorDopplerfordifferentialdiＧagnosingthebenignormalignantovariantumorsZHAIZhe,LIULi,WANGYaqinGeneralHospitalofHuainanEastHospitalGroup,Huainan,AnhuiProvince,２３２００１AbstractObjective:Toexplorethevalueoftransvaginalthree􀆼dimensionalultrasoundfreeanatomicimaging(OmniＧView)combinedwithcolorDopplerfordifferentialdiagnosingthebenignormalignantovariantumors．Methods:Theclinicaldataof８５patientswithovariantumortreatedfromJanuary２０１９toDecember２０２２werecollectedretrospecＧtively．Basedonthesurgicalpathologicalresultsasthe＂goldstandard＂,thediagnosticefficacyfortheovariancancerwascomparedamongthetwo􀆼dimensionalultrasonography,three􀆼dimensionalultrasound,andtheOmniViewtechnolＧogy．Theriskfactorsoftheovariancancerwereanaly...