To explore the diagnostic value of abdominal combined with vaginal ultrasound in ovarian tumor like lesions
探讨采用腹部联合阴道超声对卵巢瘤样病变的诊断价值

摘要

目的 观察在对卵巢瘤样病变患者诊断中按照腹部联合阴道超声进行诊断的效果。方法 结合对比诊断观察的方式开展探究，纳入2021年2月至2022年5月收治患者68例为对象，进行腹部超声、阴道超声诊断，并采集组织样本进行病理学诊断。分析各诊断方式具体效果。结果 结合病理学诊断，本组患者中黄体囊肿22例，卵泡囊肿18例，多囊卵巢综合征15例，卵巢冠囊肿11例，2例为卵巢妊娠。综合评估腹部超声诊断、腹部联合阴道超声诊断，腹部联合引导超声诊断与病理学诊断无明显差异，P>0.05。在良恶性诊断方面，病理学诊断本组患者中48例为良性，20例为恶性，在良恶性诊断准确率上，腹部联合阴道超声诊断准确率明显高于腹部超声，P<0.05。结论 在对卵巢瘤样病变患者进行诊断中按照腹部联合阴道超声进行诊断，可以有效保障对该部分患者的诊断效率，有助于促使患者尽快得到确诊。

Abstract

Objective To observe the effect of abdominal combined with vaginal ultrasound in the diagnosis of ovarian tumor like lesions.
Methods Combined with the method of comparative diagnosis and observation, 68 patients were enrolled from February 2021 to May 2022 for abdominal ultrasound and vaginal ultrasound diagnosis, and tissue samples were collected for pathological diagnosis. Analyze the specific effect of each diagnosis mode.
Results Combined with pathological diagnosis, 22 cases of corpus luteum cyst, 18 cases of follicular cyst, 15 cases of polycystic ovary syndrome, 11 cases of ovarian crown cyst and 2 cases of ovarian pregnancy were found in this group. Comprehensive evaluation of abdominal ultrasound diagnosis and abdominal combined vaginal ultrasound diagnosis showed that there was no significant difference between abdominal combined guided ultrasound diagnosis and pathological diagnosis (P>0.05). In terms of benign and malignant diagnosis, pathological diagnosis showed that 48 patients were benign and 20 patients were malignant. In terms of the accuracy of benign and malignant diagnosis, the accuracy of abdominal combined with vaginal ultrasound was significantly higher than that of abdominal ultrasound (P<0.05).
Conclusion   Abdominal ultrasound combined with vaginal ultrasound can effectively guarantee the diagnostic efficiency of patients with ovarian tumor like lesions, and help patients to be diagnosed as soon as possible.