B 超诊断妇科盆腔肿瘤的临床价值

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摘要目的探讨妇科盆腔肿瘤进行B 超检查的诊断价值。方法选择2016年5月～2017年4月在我院就诊的120 例妇科盆腔肿瘤患者作为研究对象，均进行B 超检查和CT 检查，均以病理检查结果为金标准，比较两种检查方式的诊断符合性。结果彩色多普勒超声检查子宫肌瘤39 例（97.5%），子宫内膜癌13 例（81.3%），宫颈癌18 例（81.8%），卵巢癌26 例（86.7%），子宫肉瘤11 例（91.7%）；彩色多普勒检查卵巢癌、宫颈癌结果与病理检查结果比较，差异有统计学意义（P<0.05）；其他检查结果与病理检查结果比较，差异无统计学意义（P>0.05）。CT 检查子宫肌瘤38 例（95.0%），子宫内膜癌12 例（75.0%），宫颈癌19 例（86.4%），卵巢癌27 例（90.0%），子宫肉瘤10 例（83.3%）；CT 检查子宫内膜癌结果与病理检查结果比较，差异有统计学意义（P<0.05）；其他检查结果与病理检查结果比较，差异无统计学意义（P>0.05）。彩色多普勒超声检查子宫肌瘤、子宫内膜癌、宫颈癌、卵巢癌、子宫肉瘤的准确性与CT 检查结果比较，差异无统计学意义（P>0.05）。彩色多普勒超声检查的临床分期结果与病理检查结果比较，除恶性肿瘤Ⅳ期（P<0.05）以外，其他差异无统计学意义（P>0.05）。结论妇科盆腔肿瘤进行彩色多普勒超声检查的临床诊断价值较佳，无创、便捷，可作为妇科盆腔肿瘤的首选检查方式。

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	杨敏
	张恒
	刘慧
	张晓芳
	谢莉莉

关键词 ：诊断价值, 妇科盆腔肿瘤, B 超

Abstract：Objective To investigate the value of B ultrasound in the diagnosis of gynecological pelvic tumor.Methods A total of 120 patients with gynecological pelvic tumors who were treated in our hospital from May 2016 to April 2017 were selected as research subjects.Both B ultrasound and CT examinations were performed, and the pathological examination results were used as the gold standard, and the diagnostic compliance of the two examination methods was compared.Results The color Doppler ultrasonography examined 39 cases of uterine fibroids (97.5%), 13 cases of endometrial cancer (81.3%), 18 cases of cervical cancer (81.8%), 26 cases of ovarian cancer (86.7%), 11 cases of uterine sarcoma (91.7%).There were statistically significant differences in the examination results of ovarian cancer, cervical cancer between the color Doppler ultrasonography and pathological examination (P<0.05) and there were not statistically significant differences in the examination results of other aspects between the color Doppler ultrasonography and pathological examination (P>0.05).CT examination indicated 38 cases of uterine fibroids (95.0%), 12 cases of endometrial cancer (75.0%), 19 cases of cervical cancer (86.4%), 27 cases of ovarian cancer (90.0%), and 10 cases of uterine sarcoma (83.3%).There was statistically significant difference in the examination result of endometrial cancer between the CT and pathological examination (P<0.05) and there were not statistically significant differences in the examination results of other aspects between the CT and pathological examination (P>0.05).The accuracy of color Doppler ultrasonography in the diagnosis of uterine fibroids, endometrial cancer, cervical cancer, ovarian cancer, uterine sarcoma was not statistically significant, compared with CT (P>0.05).Compared with the results of pathological examination, the clinical staging results of color Doppler ultrasonography showed no significant differences (P>0.05) except for stage Ⅳof malignant tumors (P<0.05).Conclusion The clinical diagnosis of gynecological pelvic tumor with color Doppler ultrasonography is better, non-invasive and convenient, and it can be used as the first choice for gynecological pelvic tumors.

Key words： Diagnosis value Gynecological pelvic tumor B ultrasound

作者简介: 杨敏（1980-），女，湖北十堰人，本科，主治医师，研究方向：妇产、腹部超声及移植方面

引用本文:

杨敏；张恒；刘慧；张晓芳；谢莉莉. B 超诊断妇科盆腔肿瘤的临床价值[J]. 中国当代医药, 2019, 26(15): 129-132.
YANG Min； ZHANG Heng ；LIU Hui ；ZHANG Xiao-fang； Xie Li-li. Clinical value of B ultrasound in the diagnosis of gynecological pelvic tumor. 中国当代医药, 2019, 26(15): 129-132.

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