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彩色多普勒超声与二维超声对卵巢性索间质肿瘤诊断的图像特征及诊断价值比较

Comparison of image features and diagnostic value of color Doppler ultrasound and two-dimensional ultrasound in the diagnosis of ovarian sex cord-stromal tumors.

作者信息

He Guannan, Zhao Jing, Yang Zhirong, Zhao Zhigang, Bai Yan, Xiong Wen

机构信息

Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610031, P.R. China.

Department of Pathology, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan 610031, P.R. China.

出版信息

Oncol Lett. 2020 Aug;20(2):1671-1676. doi: 10.3892/ol.2020.11704. Epub 2020 Jun 5.

Abstract

Clinical value of color Doppler ultrasound and two-dimensional ultrasound in the diagnosis of ovarian sex cord-stromal tumors (OSCSTs) were explored. A total of 91 patients with positive OSCSTs admitted to Sichuan Provincial Hospital for Women and Children from May 2014 to June 2018 were selected as research objects. There were 48 patients diagnosed by color Doppler ultrasound technology as the color Doppler group and 43 patients diagnosed by two-dimensional ultrasound technology as the two-dimensional ultrasound group. Results of ultrasound images in the two groups were compared, and the diagnostic value of two ultrasound techniques combined with detection of CA125 and CA199 for OSCSTs was compared. The real internal echo of color Doppler ultrasound was significantly higher than that of two-dimensional ultrasound (P<0.05). The blood flow signal of color Doppler ultrasound was significantly higher than that of two-dimensional ultrasound (P<0.05). The diagnostic sensitivity and diagnostic coincidence rate of color Doppler ultrasound for lymph node metastasis of OSCSTs were significantly higher than those of two-dimensional ultrasound (P<0.05). Color Doppler ultrasound combined with CA125 and CA199 detection has higher accuracy than two-dimensional ultrasound combination. In conclusion, both color Doppler ultrasound and two-dimensional ultrasound are used to observe OSCSTs for early diagnosis, but the sensitivity and diagnostic coincidence rate of color Doppler ultrasound for clinical diagnosis of OSCSTs are higher than those of two-dimensional ultrasound, so color Doppler ultrasound has higher diagnostic value in OSCSTs.

摘要

探讨彩色多普勒超声与二维超声在卵巢性索间质肿瘤(OSCSTs)诊断中的临床价值。选取2014年5月至2018年6月在四川省妇幼保健院收治的91例OSCSTs阳性患者作为研究对象。其中,48例采用彩色多普勒超声技术诊断的患者作为彩色多普勒组,43例采用二维超声技术诊断的患者作为二维超声组。比较两组超声图像结果,并比较两种超声技术联合检测CA125和CA199对OSCSTs的诊断价值。彩色多普勒超声的实际内部回声明显高于二维超声(P<0.05)。彩色多普勒超声的血流信号明显高于二维超声(P<0.05)。彩色多普勒超声对OSCSTs淋巴结转移的诊断敏感性和诊断符合率明显高于二维超声(P<0.05)。彩色多普勒超声联合CA125和CA199检测的准确性高于二维超声联合检测。综上所述,彩色多普勒超声和二维超声均可用于观察OSCSTs以进行早期诊断,但彩色多普勒超声对OSCSTs临床诊断的敏感性和诊断符合率高于二维超声,因此彩色多普勒超声在OSCSTs诊断中具有更高的诊断价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de6/7377105/f4612826e0a8/ol-20-02-1671-g00.jpg

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