摘要
目的探究术前超声应用于鉴别诊断卵巢浆液性囊腺癌与黏液性囊腺癌的价值。方法将我院2017年6月至2019年6月收治的行手术治疗的81例卵巢癌患者作为研究对象。所有患者中卵巢浆液性囊腺癌56例,黏液性囊腺癌25例。对比分析术前超声诊断卵巢浆液性囊腺癌与黏液性囊腺癌的情况。结果将术后病理诊断结果作为金标准,术前超声诊断卵巢浆液性囊腺癌、黏液性囊腺癌的灵敏度为71.43%(40/56),特异度为72.00%(18/25)。卵巢黏液性囊腺癌阻力指数低于浆液性囊腺癌(P<0.05);卵巢黏液性囊腺癌A、B、搏动指数与浆液性囊腺癌相比,差异无统计学意义(P>0.05)。卵巢黏液性囊腺癌肿瘤最大径小于浆液性囊腺癌(P<0.05);卵巢黏液性囊腺癌厚壁内衬型、乳头状实质性肿块检出率低于浆液性囊腺癌,高回声斑块检出率高于浆液性囊腺癌(P<0.05)。结论对卵巢浆液性囊腺癌、黏液性囊腺癌采用术前超声鉴别诊断具有一定的临床价值,但灵敏度和特异度不高,可用于病理检查前的辅助检查。
Objective To explore the value of preoperative ultrasound in the differential diagnosis of ovarian serous cystadenocarcinoma and mucinous cystadenocarcinoma.Methods Eighty-one patients with ovarian cancer who underwent surgery from June 2017 to June 2019 in our hospital were enrolled in this study.The preoperative ultrasound examination data were retrospectively analyzed.In all patients,56 cases of ovarian serous cystadenocarcinoma and 25 cases of mucinous cystadenocarcinoma.The postoperative pathological diagnosis was used as the gold standard,and the preoperative ultrasound diagnosis of ovarian serous cystadenocarcinoma and mucinous cystadenocarcinoma was performed.Results The postoperative pathological diagnosis was used as the gold standard.The sensitivity of preoperative ultrasound diagnosis of ovarian serous cystadenocarcinoma and mucinous cystadenocarcinoma was 71.43%(40/56),and the specificity was 72.00%(18/25).The resistance index of ovarian mucinous cystadenocarcinoma was lower than that of serous cystadenocarcinoma(P<0.05).The difference of A,B and pulsation index of ovarian mucinous cystadenocarcinoma was compared with serous cystadenocarcinoma.Statistical significance(P>0.05).The largest diameter of ovarian mucinous cystadenocarcinoma was smaller than serous cystadenocarcinoma(P<0.05).The detection rate of thick-walled lining and papillary solid mass of ovarian mucinous cystadenocarcinoma was lower than that of serous fluid.For cystic adenocarcinoma,the detection rate of hyperechoic plaque was higher than that of serous cystadenocarcinoma(P<0.05).Conclusion Preoperative ultrasound is of clinical value in the differential diagnosis of ovarian serous cystadenocarcinoma and mucinous cystadenocarcinoma,but its sensitivity and specificity are not high.It can be used for auxiliary examination before pathological examination.
作者
吴琼
罗岚
Wu Qiong;Luo Lan(Wuxi Maternal and Child Health Hospital affiliated to Nanjing Medical University,B-room,Wuxi,Jiangsu 214000,China)
出处
《现代科学仪器》
2020年第6期60-63,共4页
Modern Scientific Instruments
基金
无锡市医院管理中心科研项目YGZXM1508。
关键词
超声
诊断
浆液性囊腺癌
卵巢癌
黏液性囊腺癌
临床价值
ultrasound
diagnosis
serous cystadenocarcinoma
ovarian cancer
mucinous cystadenocarcinoma
clinical value
