Caruso A, Caforio L, Testa A C, Ciampelli M, Benedetti Panici P, Caruana P, Marana R, Mancuso S
Istituto di Ginecologia ed Ostetricia, Università Cattolica del Sacro Cuore, Roma.
Minerva Ginecol. 1998 Jul-Aug;50(7-8):285-90.
The aims of this study were to verify the predictive performance of color-Doppler analysis in the differential diagnosis of adnexal masses and to evaluate the prognostic value of a new "vascular score".
One-hundred-ninety-six patients referred to our Institute for adnexal masses were evaluated with color and pulsed Doppler within 2-3 days from surgery, and the velocimetric results were compared to histopathological data. On the basis of histopathology, patients were classified in 166 with benign and 30 with malignant ovarian tumors.
The predictivity obtained with color Doppler analysis ("vascular score") was compared to that of some "morphological scores" commonly used in the literature. The sensitivity was 100% for all the techniques used, but Doppler analysis had a higher specificity with respect to the others (95% vs max 76% for echographic techniques). The introduction of a new "vascular score" based on the introduction of the acceleration of flow in another score system previously presented, was not able to improve the predictive performance of color Doppler analysis.
Color Doppler ultrasonography of ovarian tumors seems to be a reliable method in the differential diagnosis of adnexal masses, and its potential use in the choice of a less-invasive surgical approach in selected cases (those negative to the "vascular score") should be considered.
本研究旨在验证彩色多普勒分析在附件包块鉴别诊断中的预测性能，并评估一种新的“血管评分”的预后价值。
对转诊至我院的196例附件包块患者在手术前2 - 3天进行彩色及脉冲多普勒评估，并将测速结果与组织病理学数据进行比较。根据组织病理学，患者分为166例良性卵巢肿瘤和30例恶性卵巢肿瘤。
将彩色多普勒分析（“血管评分”）获得的预测性与文献中常用的一些“形态学评分”的预测性进行比较。所有使用的技术敏感性均为100%，但多普勒分析相对于其他技术具有更高的特异性（95%，而超声检查技术最高为76%）。在先前提出的另一个评分系统中引入血流加速度的新“血管评分”，并不能提高彩色多普勒分析的预测性能。
卵巢肿瘤的彩色多普勒超声检查似乎是附件包块鉴别诊断的可靠方法，应考虑其在特定病例（“血管评分”为阴性者）选择侵入性较小的手术方法中的潜在应用。
