实时三维超声结合三维能量多普勒显像对卵巢小肿块的诊断价值

摘要

Objective To evaluate the diagnostic value of combining real-time three-dimensional ultrasonography with three-dimensional power Doppler ultrasound for the patients with small ovarian masses.Methods One hundred and seven patients with small ovarian masses were examined with real-time three-dimensional ultrasonography and three-dimensional power Doppler ultrasound.The images and the relationship between benign and malignant small ovarian masses were analyzed.Results Benign and malignant small ovarian tumors had statistical differences in these three parameters:the envelope,inner wall and whether there being central vessels.The sensitivity and specificity of combining real-time threedimensional ultrasonography with three-dimensional power Doppler ultrasound to diagnose malignant small ovarian tumors were 92.9% and 97.3% respectively.Conclusions Combining real-time three-dimensional ultrasonography with three-dimensional color Doppler energy can be used to diagnose the small ovarian masses and provide valuable information to identify malignant ovarian tumors.A small ovarian tumor with incomplete envelope,irregular inner wall and there being central vessels indicated the possibility of being malignant.%目的 探讨实时三维超声结合三维能量多普勒显像(three-dimensional power Doppler ultrasound,3DPD)对卵巢小肿块的诊断价值.方法 107例卵巢小肿块患者进行实时三维超声及3DPD检查.分析声像图表现及其与良恶性的关系.结果 实时三维超声结合3DPD显示肿块包膜、内壁及内部有无血流等3项指标良恶性间比较差异有统计学意义(P＜0.05).二者结合诊断的敏感性和特异性分别为92.9%和97.3%.结论 实时三维超声结合3DPD对卵巢小肿块的良恶性诊断有一定价值,显示卵巢小肿块包膜不完整、内壁有颗粒状或乳头状突起及内部有血流时提示为恶性.