B超在绝经后卵巢肿瘤良恶性鉴别诊断中的临床价值研究

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【摘要】目的：探讨B超在绝经后卵巢肿瘤良恶性鉴别诊断中的临床价值。方法：回顾性纳入2018年1月—2022年1月于本院诊治的绝经后卵巢肿瘤患者232例，均完成B超检查和病理组织学检查，并以病理组织学检查为金标准，分析B超在绝经后卵巢肿瘤良恶性鉴别诊断中的临床效能。结果：232例患者中，B超检查证实恶性66例，良性166例；病理组织学检查证实恶性62例，良性170例；卵巢良恶性肿瘤B超检查单双侧比例，形状，肿瘤最大径，肿瘤壁结构，腹水，搏动指数及阻力指数比较差异有统计学意义（P

【关键词】超声；绝经；卵巢肿瘤；鉴别诊断

Study on the clinical value of B-ultrasound in the differential diagnosis of benign and malignant postmenopausal ovarian tumors

XU Ailin， FAN Yumei， YANG Xingli

Nanchong Psychosomatic Hospital， Nanchong， Sichuan 637000， China

【Abstract】Objective To investigate the clinical value of B-ultrasound in the differential diagnosis of benign and malignant postmenopausal ovarian tumors. Methods 232 patients with postmenopausal ovarian tumor diagnosed and treated in our hospital from January 2018 to January 2022 were retrospectively included.All patients underwent B-ultrasound examination and histopathological examination，and the histopathological examination was used as the gold standard to analyze the clinical efficacy of B-ultrasound in the differential diagnosis of postmenopausal ovarian tumor between benign and malignant.Results Among 232 cases，B-ultrasound confirmed that66 cases were malignant and 166 cases were benign；Histopathological examination confirmed malignant for 62 cases and benign for 170 cases；There were statistically significant differences in unilateral and bilateral ratio， shape，maximum diameter of tumor， tumor wall structure， ascites，pulsatility index and resistance index of benign and malignant ovarian tumors by B-ultrasonography（P

【Key Words】Ultrasound； Menopause； Ovarian tumor； Differential diagnosis

絕经后女性卵巢体积持续萎缩，激素水平明显改变，卵巢恶性肿瘤发生风险随之增加[1]；有报道提示，卵巢癌发病率在绝经后女性恶性肿瘤发病率中高居前三，且临床预后极差，严重威胁患者生命安全[2]。（剩余4748字）

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