经阴道彩超在卵巢癌周围血管受侵程度及可切除性中的评估价值
Evaluation value of transvaginal ultrasound in the degree of invasion and resectability of peripheral blood vessels in ovarian cancer
苏少敏1
作者信息
- 1. 泗水县人民医院超声科 山东 济宁 273200
- 折叠
摘要
目的:研究经阴道彩超在卵巢癌周围血管受侵程度、可切除性中的评估价值.方法:选取 2020 年 1 月—2022 年 1 月在泗水县人民医院确诊的卵巢癌患者80例为研究对象,对比周围血管侵袭、周围血管未侵袭患者的动脉血管舒张末期流速(EDV)、阻力指数(RI)、搏动指数(PI)、峰值流速(PSV)水平.对比可切除患者、不可切除患者的EDV、PSV、RI、PI水平.计算经阴道彩超评估卵巢癌周围血管受侵程度、可切除性的灵敏度、特异度.结果:根据病理检查结果,周围血管侵袭 42 例,周围血管未侵袭 38 例.周围血管侵袭EDV、PSV水平高于周围血管未侵袭患者,RI、PI水平低于周围血管未侵袭患者,差异有统计学意义(P＜0.05).经阴道彩超评估卵巢癌周围血管受侵犯的灵敏度与特异度分别为95.24%(40/42)和94.74%(36/38).根据临床结果,切除卵巢癌45例,未切除卵巢癌35例.手术切除患者EDV、PSV水平低于手术未切除患者,RI、PI水平高于手术未切除患者,差异有统计学意义(P＜0.05).经阴道彩超评估卵巢癌可切除性的灵敏度与特异度分别为 95.56%(43/45)和 97.14%(34/35).结论:经阴道彩超在评估卵巢癌周围血管受侵程度及可切除性中具有较高的价值.
Abstract
Objective The purpose of this study is to evaluate the value of transvaginal ultrasound in assessing the degree of vascular invasion and resectability around ovarian cancer.Methods Eighty ovarian cancer patients diagnosed at People's Hospital of Sishui County from January 2020 to January 2022 were selected as the study subjects.The arterial diastolic flow velocity(EDV),resistance index(RI),pulsatility index(PI),and peak flow velocity(PSV)levels of patients with and without peripheral vascular invasion were compared.The levels of EDV,PSV,RI,and PI between resectable and non resectable patients was compared.The sensitivity and specificity of transvaginal ultrasound in evaluating the degree of invasion and resectability of surrounding blood vessels in ovarian cancer was calculated.Results According to the pathological examination results,there were 42 cases of peripheral vascular invasion and 38 cases of peripheral vascular non invasion.The levels of EDV and PSV in patients with peripheral vascular invasion were higher than those in patients without peripheral vascular invasion,while the levels of RI and PI were lower than those in patients without peripheral vascular invasion,with statistical significance(P＜0.05).The sensitivity and specificity of transvaginal ultrasound in evaluating the invasion of surrounding blood vessels in ovarian cancer were 95.24%(40/42)and 94.74%(36/38),respectively.According to clinical results,45 cases of ovarian cancer were removed and 35 cases of ovarian cancer were not removed.The levels of EDV and PSV in patients with surgical resection were lower than those in patients without surgical resection,while the levels of RI and PI were higher than those in patients without surgical resection,with statistical significance(P＜0.05).The sensitivity and specificity of transvaginal ultrasound in evaluating the resectability of ovarian cancer were 95.56%(43/45)and 97.14%(34/35),respectively.Conclusion Transvaginal ultrasound has high value in evaluating the degree of vascular invasion and resectability around ovarian cancer.
关键词
经阴道彩超/卵巢癌/血管受侵/可切除性Key words
Transvaginal ultrasound/Ovarian cancer/Invasion of blood vessels/Resectability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据