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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。
Objective: To compare the clinical application of ultrasonography and pathology in the diagnosis of ovarian tumors. Methods: Sixty patients with ovarian tumors confirmed by pathology after operation from 2009 to 2013 were selected. All patients were examined by B-mode ultrasonography and pathology. 1 The accuracy of B-mode ultrasonography in diagnosing ovarian tumors was analyzed by pathological examination, Specificity and sensitivity; 2 analysis of benign and malignant sonography features. Results: There were 24 cases of malignant tumors and 36 cases of benign tumors in the 160 cases. The sensitivity and specificity of B-ultrasound in diagnosis of ovarian tumors were 87.5%, 94.44% and 91.67% respectively, which were significantly different from those of pathological examination , No statistical significance (P <0.05); 236 cases of benign cystic echoes in 23 cases, mixed echoes in 5 cases, 8 cases of solid echoes, intact capsule echo in 31 cases, 28 cases of enhanced echogenic back, the rear echo attenuation of 3 Cases, 24 cases without ascites, malignant cystic echoes in 1 case, 18 cases of mixed echoes, solid echo in 5 cases, 4 cases of intact capsule echo, 2 cases of enhanced echo in the rear, rear echo attenuation in 16 cases, 12 cases of ascites For example, the difference between benign and malignant tumors was statistically significant (P <0.05). Conclusion: B ultrasound has high specificity, sensitivity and accuracy in the diagnosis of ovarian tumors. The benign and malignant ovarian tumors have typical appearance on B ultrasound.