作　　者： ; ; ; ; ; ;

机构地区： 南方医科大学

出　　处： 《中国医学创新》 2017年第3期45-48,共4页

摘　　要： 目的:探讨经腹部联合经阴道超声诊断卵巢交界性肿瘤的临床价值。方法:回顾性分析2011年1月-2016年6月本院收治的96例患者的资料,所有患者均行经腹部超声和经阴道超声。根据病理结果分为交界性肿瘤组(n=54)和卵巢癌组(n=42)。结果:经腹部超声诊断符合率低于经阴道超声[75.00%(72/96)vs 86.46%(83/96)],差异有统计学意义(P=0.044)。经腹部超声和经阴道超声ROC曲线下面积分别为0.741[95%CI(0.637,0.844)]和0.861[95%CI(0.779,0.943)]。平行试验敏感度和特异度为94.4%和72.5%,约登指数为0.669;序列试验敏感度和特异度为55.6%和97.9%,约登指数为0.535。结论:经阴道超声对卵巢交界性肿瘤的诊断效能优于经腹部超声,平行试验可以提高诊断试验的敏感度。 Objective：To investigate the clinical value of transabdominal ultrasound combined with transvaginal ultrasound in the diagnosis of borderline ovarian tumor.Method：Ninety-six patients were enrolled into study from January 2011 to June 2016.Patients were detected by transabdominal ultrasound and transvaginalultrasound.According to pathology,ninety-six patients were divided into borderline ovarian tumor group（n=54） and ovarian cancer group（n=42）.Result：Diagnostic coincidence rate of transabdominal ultrasound was significantly lower than that of transvaginal ultrasound[75.00%（72/96） vs 86.46（83/96）,P=0.044]. AUROC of tansabdominal ultrasound and transvaginal ultrasound were 0.741[95%CI（0.637,0.844）],0.861[95%CI（0.779,0.943）]. Parallel test（ sensitivity：94.4%,specificity：72.5%,Yuden Index：0.669） was superior to Serial test（sensitivity：55.6%,specificity：97.9%,Yuden Index：0.535）.Conclusion：Diagnostic efficiency of transvaginal ultrasound is superior to transabdominal ultrasound for borderline ovarian tumor.Parallel test could improve sensitivity of diagnostic test.

关 键 词： 经腹部 经阴道 超声 卵巢交界性肿瘤

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