中国医学创新目次腹部超声联合阴道超声诊断卵巢瘤样病变的价值研究.docVIP

中国医学创新目次腹部超声联合阴道超声诊断卵巢瘤样病变的价值研究 　　【摘要】 目的：探?腹部超声联合阴道超声诊断卵巢瘤样病变的临床价值，提高卵巢瘤样病变诊断正确率，降低漏诊和误诊。方法：选择2013年5月-2016年6月在本院接受检查的疑似卵巢瘤样病变患者105例，根据检查方式分为A、B、C组，每组各35例。其中A组行单纯经腹部超声检查，B组行单纯经阴道超声检查，C组行腹部超声联合阴道超声检查，将三组诊断结果与病理检查结果比较，分析三组方法的诊断正确率、误诊率和漏诊率。结果：三组诊断准确率比较差异无统计学意义（P0.05），C组诊断误诊率、漏诊率均显著低于A、B组（P0.05）。结论：腹部超声联合阴道超声在卵巢瘤样病变中的具有较好的诊断价值，可降低漏诊率和误诊率，值得临床推广。 　　【关键词】 卵巢瘤样病变； 经阴道超声； 经腹部超声； 诊断 　　【Abstract】 Objective：To investigate the clinical value of abdominal ultrasound combined with transvaginal ultrasound in the diagnosis of ovarian tumor like lesions， to improve the diagnostic accuracy of ovarian tumor like lesions，reduce the missed diagnosis and misdiagnosis.Method：105 cases of suspected ovarian tumor like lesions in our hospital from May 2013 to June 2016 were divided into group A， B and C， 35 cases in each group.The group A underwent transabdominal ultrasonography，group B underwent transvaginal ultrasonography，group C underwent abdominal ultrasound and transvaginal ultrasound examination，three groups of diagnosis results compared with pathological findings，the rate of correct，misdiagnosis and missed diagnosis in three groups were diagnosed and analyzed.Result：The diagnostic accuracy of three groups were not significant difference（P0.05），the diagnostic error rate of group C was significantly lower than that of group A（P0.05）.Conclusion：The abdominal ultrasound combined with transvaginal ultrasound in the diagnosis of ovarian tumor like lesions has a good diagnostic value，can reduce the rate of misdiagnosis and misdiagnosis rate，it is worthy of clinical promotion. 　　【Key words】 Ovarian tumor like lesion； Transvaginal ultrasound； Abdominal ultrasound； Diagnosis 　　First-author’s address：The Fourth People’s Hospital of Shangrao，Shangrao 334000，China 　　doi：10.3969/j.issn.1674-4985.2017.04.015 　　卵巢瘤样病变（ovarian tumor like condition）为一种非赘生性肿瘤，是导致育龄期妇女卵巢肿大的常见原因。近年来发病率呈上升趋势，给女性的生活带来极大的困扰[1-2]。不同于卵巢恶性肿瘤，卵巢瘤样病变是一种良性疾病，早期患者一般症状不明显，仅表现腹部不适感，然而随着瘤体不断长大会压迫临近器官，尤其是膀胱，患者常因起尿频、尿急、夜尿多等泌尿系