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华西医学  2015 

超声分数、血管指数及血管阻力指数在卵巢肿瘤诊断中作用的研究

DOI: 10.7507/1002-0179.20150360, PP. 1255-1259

Keywords: 卵巢肿瘤,超声分数,血管指数,血管阻力指数,诊断

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Abstract:

目的?探讨超声分数、血管指数及血管阻力指数对卵巢良恶性肿瘤鉴别诊断、预测的价值。方法?收集2008年1月-2012年6月收治的卵巢肿瘤患者157例,年龄19~68岁,平均56岁,其中良性肿瘤77例,恶性肿瘤80例。分别记录超声分数、血管指数及血管阻力指数,以术后病理诊断为依据,比较良、恶性肿瘤的差别;结合术前预测,比较其灵敏度、特异度。结果?卵巢良性肿瘤超声分数、血管指数明显低于恶性肿瘤,差异有统计学意义(P<0.05);良性肿瘤血管阻力指数明显高于恶性肿瘤,差异有统计学意义(P<0.05);分别以超声总分≥2分、血管指数>0.02条/cm3、血管阻力指数≤0.6作为诊断恶性肿瘤的界值具有较高的灵敏度和特异度,其灵敏度为分别为92.5%、90.0%、87.5%;特异度分别为90.9%、89.6%、84.4%。结论?超声分数、血管指数和血管阻力指数对卵巢肿瘤良恶性鉴别具有指导意义,而超声分数的预测价值更高,具有临床应用和推广价值。

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