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目的探讨经腹超声联合经阴道超声检查对卵巢肿瘤的诊断价值。方法选取2012年6月至2016年6月间海南省中医院收治的80例卵巢肿瘤患者作为研究对象,分别对患者进行经腹超声、经阴道超声检查以及联合检查,观察比较3种检查方式的诊断结果,并与病理诊断结果进行比较。结果经腹超声联合经阴道超声检查对恶性肿瘤的诊出率(23.8%)高于经腹部超声检查恶性卵巢肿瘤诊出率(15.0%)以及经阴道超声检查恶性卵巢肿瘤诊出率(17.5%),差异均有统计学意义(均P<0.05)。与病理分期结果相比,对于Ⅲ、Ⅳ期恶性肿瘤,联合检查的诊断符合率分别为87.5%和85.7%,明显高于单独经腹超声或经阴道超声检查,差异均有统计学意义(均P<0.05)。良性、恶性卵巢肿瘤血流动力学最大峰值(PSV)、平均流速(Vm)、搏动指数(PI)和阻力指数(RI)等指标进行比较,差异均有统计学意义(均P<0.05)。结论经腹超声联合经阴道超声检查对卵巢肿瘤的诊断价值高,尤其对恶性肿瘤的诊断,值得广泛推广。
Objective To investigate the value of transabdominal ultrasonography combined with transvaginal sonography in the diagnosis of ovarian tumors. Methods Eighty patients with ovarian tumors admitted to Hainan Provincial Hospital of Traditional Chinese Medicine from June 2012 to June 2016 were selected as study subjects. Transabdominal ultrasonography, transvaginal sonography and combined examinations were performed respectively. Diagnostic results, and compared with the pathological diagnosis. Results The diagnostic rate of malignant tumors by transabdominal ultrasonography combined with transvaginal sonography was higher than that of transabdominal ultrasonography (15.0%) and transvaginal ultrasound (17.5% ), The differences were statistically significant (all P <0.05). Compared with the pathological staging results, the diagnostic coincidence rate of combined examination was 87.5% and 85.7% respectively for stage Ⅲ and Ⅳ malignant tumors, which were significantly higher than those of transabdominal or transvaginal ultrasonography P <0.05). The difference of the maximum peak value (PSV), average velocity (Vm), pulsatility index (PI) and resistance index (RI) between benign and malignant ovarian tumors were statistically significant (all P <0.05). Conclusion Transabdominal ultrasonography combined with transvaginal ultrasonography has high value in the diagnosis of ovarian tumors, especially for the diagnosis of malignant tumors, which should be widely disseminated.