| 林丹丹1 刘良华1 符兆海1 黄建玲1 蓝莉2.B超与病理检查在卵巢肿瘤诊断中临床应用比较[J].,2014,14(20):3877-3879 |
| B超与病理检查在卵巢肿瘤诊断中临床应用比较 |
| Comparison of Clinical Application of Type-B Ultrasound and PathologicExamination in Diagnosis of Ovarian Tumors |
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| DOI： |
| 中文关键词: B 超 病理检查 卵巢肿瘤 临床应用 |
| 英文关键词: B ultrasound pathology Ovarian cancer Clinical applications |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：比较B 超与病理检查在卵巢肿瘤诊断中临床应用。方法：选择2009 年-2013 年经手术后病理证实的卵巢肿瘤患者60
例，所有患者均经B 超与病理学检查，①以病理学检查结果为金标准分析B 超诊断卵巢肿瘤的准确性、特异性和敏感性；②分析
良恶性肿瘤声像图特征。结果：①60 例患者经术后病理学检查，恶性肿瘤24 例，良性肿瘤36 例，B 超诊断卵巢肿瘤敏感性为
87.5%，特异度为94.44%，准确性为91.67%，与病理检查比较差异，无统计学意义（P＜0.05）；②36 例良性肿瘤囊性回声23 例，混
合性回声5 例，实性回声8 例，包膜回声完整31 例，后方回声增强28 例，后方回声衰减3 例，无腹水病例24 例，恶性肿瘤囊性回
声1 例，混合性回声18 例，实性回声5 例，包膜回声完整4 例，后方回声增强2 例，后方回声衰减16 例，腹水病例12 例，良恶性
肿瘤比较差异有统计学意义（P＜0.05）。结论：B 超对卵巢肿瘤诊断具有较高的特异性、敏感性和准确性，良恶性卵巢肿瘤在B超
声像图上有典型表现。 |
| 英文摘要: |
| ABSTRACT Objective:To compare the clinical application of type-B ultrasound and pathologic examination in diagnosis of
ovarian tumors. Methods:60 cases of patients with ovarian cancer who were pathologically confirmed after surgery from 2009 to 2013
were selected, all patients were confirmed via pathological examination and B ultrasound. ① The pathological findings were used as the
gold standard to analyze the accuracy, specificity and sensitivity of B ultrasound in diagnosis of endometrial cancer; ② Sonographic
features were analyzed in benign and malignant cases. Results:① 60 cases of patients who were confirmed via postoperative
pathological examination sonsisted of 24 cases of malignant tumor and 36 cases of benign tumor. The sensitivity, specificity and accuracy
of the diagnosis of ovarian cancer via the type-B ultrasound were 87.5%, 94.44%and 91.67%, and there was no statistically significant
difference (P<0.05) compared with pathological examination; ② 23 cases of the 36 cases of benign tumor were cystic echo, 5 cases were
mixed echo, 8 cases were solid echo, 31 cases were echo envelope intact, 28 cases were posterior acoustic enhancement, 3 cases were
posterior echo attenuation, no cases were with ascites, 1 case of the 24 cases of malignant tumor were cystic echo, 18 cases were mixed
echo, 5 cases were solid echo, 4 cases were echo envelope intact, 2 cases were posterior acoustic enhancement, 16 cases were posterior
echo attenuation, and 12 patients were with ascites. The difference between the benign and malignant tumors was statistically significant
(P<0.05). Conclusion:Type-B ultrasound presents high specificity, sensitivity and accuracy in the diagnosis of ovarian tumors, the benign
and malignant ovarian tumors present typical features in type-B ultrasound image. |
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