首页|彩色多普勒超声定性诊断子宫附件囊性占位的临床效果评价

彩色多普勒超声定性诊断子宫附件囊性占位的临床效果评价

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目的:评价彩色多普勒超声定性诊断子宫附件囊性占位的临床效果.方法:选择2019年9月~2022年9月在本院妇科门诊接受检查的287例可疑附件囊性肿块患者,均接受彩色多普勒超声检查,由临床综合诊断确诊,评价彩超定性诊断子宫附件囊性占位的临床效果.结果:临床综合诊断表明,269例为子宫附件囊性占位,包括子宫内膜异位囊肿54例、卵巢囊肿蒂扭转29例、囊腺瘤51例、输卵管积液26例、附件炎性包块45例、输卵管系膜囊肿26例、输卵管异位妊娠38例.彩超诊断子宫附件各种囊性占位的符合率分别为:子宫内膜异位囊肿92.59%(50/54)、卵巢囊肿蒂扭转93.10%(27/29)、囊腺瘤94.12%(48/51)、输卵管积液92.31%(24/26)、附件炎性包块91.11%(41/45)、输卵管系膜囊肿96.15%(25/26)、输卵管异位妊娠94.74%(36/38),与临床综合诊断结果均无显著差异(P>0.05).彩超诊断子宫附件囊性占位的准确度为95.12%(273/287)、灵敏度为95.91%(258/269)、特异度为83.33%(15/18).结论:彩色多普勒超声能够显示子宫附件病变的细微结构,诊断子宫附件囊性占位的效能较高,而且便于区分各种囊性占位,具有较高的临床应用价值.
Clinical Effect of Color Doppler Ultrasound in Qualitative Diagnosis of Cystic Occupying Uterine Adnexa
Objective:To evaluate the clinical effect of color Doppler ultrasound in the qualitative diagnosis of cystic masses of uterine appendages.Methods:From September 2019 to September 2022,287 patients with suspected adnexal cystic masses who were examined in the gynecological outpatient department of our hospital were selected,and they needed to undergo color Doppler ultrasound examination.The diagnosis was confirmed by clinical comprehensive diagnosis,and the clinical effect of color Doppler ultrasound in qualitative diagnosis of uterine adnexal cystic masses was evaluated.Results:The clinical comprehensive diagnosis showed that 269 cases were cystic masses of uterine appendages,including 54 cases of endometriotic cysts,29 cases of torsion of ovarian cyst pedicle,51 cases of cystadenoma,26 cases of fallopian tube effusion,45 cases of accessory inflammatory masses,26 cases of mesosalpinx cysts,and 38 cases of ectopic pregnancy.The coincidence rates of color Doppler ultrasound in the diagnosis of various cystic masses of uterine appendages were 92.59%(50/54)for endometriotic cysts,93.10%(27/29)for torsion of ovarian cyst pedicle,94.12%(48/51)for cystadenoma,92.31%(24/26)for fallopian tube effusion,91.11%(41/45)for inflammatory adnexal masses,96.15%(25/26)for mesosalpinx cysts,and 94.74%(36/38)for ectopic pregnancy,respectively,which were not significantly different from the results of clinical comprehensive diagnosis(P>0.05).The accuracy,sensitivity,and specificity of color Doppler ultrasound in diagnosing cystic masses of uterine appendages were 95.12%(273/287),95.91%(258/269),and 83.33%(15/18),respectively.Conclusion:Color Doppler ultrasound can display the fine structure of uterine adnexal lesions,and has a high efficiency in diagnosing cystic lesions in uterine adnexal lesions.It has high clinical application value.

color Doppler ultrasoundqualitative diagnosisuterine appendagescystic mass

董晓云

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福建省永春县石鼓卫生院超声科(福建 泉州 362600)

彩色多普勒超声 定性诊断 子宫附件 囊性占位

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(2)
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