| 摘要: |
| ［摘要］ 目的 探讨经阴道三维能量多普勒超声（three-dimensional power Doppler transvaginal ultrasound，3DPD-TVS）定量分析卵巢肿块血流灌注参数并评估其鉴别卵巢肿块良恶性的价值．方法 应用3DPD-TVS对101个卵巢肿块进行检查并测量以下参数：阻力指数（resistance index，RI）、血管化指数（vascularization index，VI）、血流指数（flow index，FI）、血管化血流指数（vascularization flow index，VFI），分析数据并与术后病理结果对照．结果 卵巢肿块恶性组VI、FI、VFI值明显高于良性组［（1.57±2.37）vs （5.10±4.68）、（35.53±7.91）vs（40.92±6.82）、（0.61±0.99）vs（2.18±2.06）］，差异有统计学意义（P＜0.05）；而2组间比较，RI无明显差异（P＞0.05）．结论 经阴道三维能量多普勒超声能较客观定量分析卵巢肿块的血供情况，为鉴别卵巢肿块良恶性提供一定的参考价值． |
| 关键词: ［关键词］ 经阴道 三维能量多普勒超声 卵巢肿块 良恶性 |
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| 基金项目:［基金项目］ 中国福利会科学研究基金资助项目（G2011089545） |
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| Quantitative Analysis of Malignant and Benign Ovarian Masses with Transvaginal Three-dimensional Power Doppler Ultrasound |
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WANG Ya－mei1,2
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1.（1）Dept. of Ultrasound Diagnosis，Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University，Shanghai Institute of Ultrasound in Medicine，Shanghai 200233;2.２）Dept. of Ultrasound Diagnosis，International Peace Maternity and Child Health Hospital Affiliated to Shanghai Jiao Tong University，Shanghai 200036，China）
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| Abstract: |
| ［Abstract］Objective To investigate the effect of three-dimensional power Doppler transvaginal ultrasound（3DPD-TVS）quantitative analysis of ovarian masses perfusion parameters and evaluate the value of it in identification of the malignant and benign ovarian masses. Methods 101 ovarian masses were examined with 3DPD-TVS and the corresponding parameters: the resistance index （RI），vascularization index （VI） ，flow index （ FI）,vascularization flow index （VFI） were analyzed. Then the results were compared with the postoperative pathological results．Results VI，FI，VFI values with ovarian malignant tumor group were significantly higher than those in benign tumor group ，the difference was statistically significant （P＜0.05）. RI showed no significant difference between malignant tumor group and benign masses group（P＞0.05）．Conclusion Transvaginal three-dimensional power Doppler ultrasound can be used to objectively and quantitatively analyze of ovarian masses and provide certain reference value for the identification of malignant and benign ovarian masses. |
| Key words: ［Key words］Transvagina Three-dimensional power doppler ultrasound Ovarian masses Benign and malignant |