CAJ | 학술논문

目的：探讨绝经后妇女卵巢肿物的彩色多普勒超声诊断价值及临床特征。方法选取2001年1月至2014年1月经手术证实72例绝经后妇女卵巢肿物的临床资料进行回顾性分析，探讨绝经后妇女卵巢肿物的临床特征以及超声声像图特点。结果在所有患者中，其中良性肿物患者53例，占73.6%；恶性肿物患者19例，占26.4%。在腹痛、腹胀、阴道出血以及尿频尿急等临床表现方面，卵巢肿物良性与恶性间比较差异无显著性（ P ﹥0.05）；绝经后妇女卵巢肿物双侧病变的恶性率明显高于单侧病变患者；单侧卵巢肿块最大径线﹥10 cm 的恶性病变发生率明显高于最大径线≤10 cm 患者。在超声二维声像图指标方面，肿物不规则的恶性病变发生率明显高于肿物规则者；壁结构异常的恶性病变发生率明显高于壁结构正常者；有腹水者恶性病变发生率显著高于无腹水者（ P ﹤0.05）。与卵巢良性肿物比较，恶性肿物舒张末期流速（VED）、收缩期峰值流速（Vps）、平均流速（VM）显著提高，搏动指数（PI）以及阻力指数（RI）显著降低（ P ﹤0.05）。结论绝经后妇女卵巢肿物进行彩色多普勒超声诊断，具有快速、无创、诊断率高等特点，综合运用血流频谱的特征诊断能够较为可靠地鉴别肿物的良恶性，可以作为鉴别绝经后妇女卵巢肿物良恶性的重要依据。
목적：탐토절경후부녀란소종물적채색다보륵초성진단개치급림상특정。방법선취2001년1월지2014년1월경수술증실72례절경후부녀란소종물적림상자료진행회고성분석，탐토절경후부녀란소종물적림상특정이급초성성상도특점。결과재소유환자중，기중량성종물환자53례，점73.6%；악성종물환자19례，점26.4%。재복통、복창、음도출혈이급뇨빈뇨급등림상표현방면，란소종물량성여악성간비교차이무현저성（ P ﹥0.05）；절경후부녀란소종물쌍측병변적악성솔명현고우단측병변환자；단측란소종괴최대경선﹥10 cm 적악성병변발생솔명현고우최대경선≤10 cm 환자。재초성이유성상도지표방면，종물불규칙적악성병변발생솔명현고우종물규칙자；벽결구이상적악성병변발생솔명현고우벽결구정상자；유복수자악성병변발생솔현저고우무복수자（ P ﹤0.05）。여란소량성종물비교，악성종물서장말기류속（VED）、수축기봉치류속（Vps）、평균류속（VM）현저제고，박동지수（PI）이급조력지수（RI）현저강저（ P ﹤0.05）。결론절경후부녀란소종물진행채색다보륵초성진단，구유쾌속、무창、진단솔고등특점，종합운용혈류빈보적특정진단능구교위가고지감별종물적량악성，가이작위감별절경후부녀란소종물량악성적중요의거。
Objective To explore the value and clinical analysis of the ultrasonic diagnosis for the ovarian neoplasm of the women in post-menopausal. Methods We selected 72 cases of patients of women in postmenopausal confirmed by surgery. All included cases come to our hospi-tal for treatment at the time from January 2001 to January 2014. The clinical data of the selected patients were retrospectively analyzed to explore the clinical features and ultrasonic characteristics of the patients. Results There were 53 cases of patients with benign neoplasm,accounted for 73. 6% ;and 19 cases of patients are diagnosed as malignant neoplasm,accounted for 26. 4% . In the aspect of abdominal pain,abdominal disten-sion,vaginal bleeding,frequent urination,and urgent urination,etc. There are no significantly difference between the patients with benign neo-plasm with patients with malignant neoplasm,and the difference have no statistical significance( P ﹥ 0. 05). The malignant rate of patients with bilateral lesions of ovarian neoplasm is much higher than the patients with unilateral lesion. The malignant rate of patients with the biggest meridian unilateral ovarian tumors much more than 10 cm was obviously higher than the patients with the biggest meridian unilateral ovarian tumors no more than 10 cm. In the indicators of ultrasonography of two - dimensional,the malignant rate of patients with irregular mass is obviously higher than pa-tients with rule mass. The malignant rate of patients with abnormalities arm structural was obviously higher than patients with normal arm structur-al;and the malignant rate of patients with ascites was obviously higher than patients without ascites. All of the difference above have statistical sig-nificance( P ﹤ 0. 05). By comparing the end - diastolic velocity(VED),systolic peak velocity(Vps),mean velocity(VM),pulse index(PI) and resistance index(RI),there have statistically significant differences between benign tumors and malignant tumors. Conclusion The technol-ogy of ultrasonic diagnosis for the ovarian neoplasm of the women in postmenopausal has several characteristics such as rapid,noninvasive and high diagnostic rate,etc. it also can identify whether the mass is benign or malignant,can be selected as the important basis.