论文部分内容阅读
目的：探讨经直肠超声对卵巢肿物的诊断价值和临床意义。方法：对７５例卵巢肿物患者行腹部超声和直肠超声检查。结果：经直肠超声对卵巢肿物的检出率（１００％）高于腹部超声（９０．７％），尤其对２ ｃｍ以下的小肿物和后盆腔肿物显示较好；能够清楚显示肿物的边缘、内部回声及细微结构，以及与周围组织脏器的关系和伴发征象；腹部超声诊断卵巢肿物的准确率为６８．０％，未定性８．０％，误诊１４．６％，漏诊９．３％；经直肠超声诊断的准确率为８５．３％，未定性９．３％，误诊５．３％，准确率比腹部超声提高１７．３％（Ｐ＜０．０５）。结论：经直肠超声诊断卵巢肿物的效果明显优于腹部超声，二者联合使用对卵巢肿瘤的早期诊断、鉴别诊断及准确分期具有重要意义。
Objective: To investigate the diagnostic value and clinical significance of transrectal ultrasound in ovarian masses. Methods: Totally 75 cases of ovarian masses underwent abdominal ultrasound and rectal ultrasonography. Results: The detection rate of transrectal ultrasound on ovarian masses was higher than that of abdominal ultrasound (90.7%), especially for small and posterior pelvic masses less than 2 cm. It showed clearly swollen The edge of the object, internal echo and fine structure, and the relationship with the surrounding tissues and associated signs; the accuracy of abdominal ultrasound in the diagnosis of ovarian masses was 68.0%, 8.0% of unknowns, misdiagnosed 14.6% , The missed diagnosis was 9.3%. The accuracy of transrectal ultrasound diagnosis was 85.3%, 9.3%, 5.3%, the accuracy rate was 17.3% (P <0.05) higher than that of abdominal ultrasound. . Conclusion: Transrectal ultrasonography is superior to abdominal ultrasonography in the diagnosis of ovarian tumors. The combined use of these two methods is of great significance in the early diagnosis, differential diagnosis and accurate staging of ovarian tumors.