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目的探讨经阴道超声对鉴别卵巢良恶性肿瘤的诊断价值。方法对51例卵巢肿瘤共59个病灶行经阴道超声检查,通过Campbell评分系统对每一个病灶打分,2~5.5分评定为良性肿瘤,≥5.5分评定为恶性肿瘤。结果病理诊断的36例良性肿瘤中,Campbell积分<5.5分的共34例,误诊2例,诊断符合率为94.44%;15例恶性肿瘤中,Campbell积分≥5.5分的共14例,误诊1例,诊断符合率为93.33%。良、恶性肿瘤Campbell积分差异有统计学意义。结论经阴道超声为鉴别卵巢良恶性肿瘤提供了有效的手段。
Objective To investigate the value of transvaginal sonography in the differential diagnosis of benign and malignant ovarian tumors. Methods Totally 59 lesions of 51 cases of ovarian tumors were examined by transvaginal sonography. Each lesion was scored by Campbell scoring system, benign tumors were scored in 2 ~ 5.5 points, and malignant tumors were scored ≥5.5. Results Of the 36 benign tumors with pathological diagnosis, 34 cases had Campbell’s score <5.5 and 2 cases were misdiagnosed, the diagnostic coincidence rate was 94.44%. Among 15 malignant tumors, there were 14 cases whose Campbell’s score was 5.5 or not and 1 case was misdiagnosed , The diagnostic coincidence rate was 93.33%. There were significant differences in Campbell scores between benign and malignant tumors. Conclusion Transvaginal ultrasound provides an effective means to identify benign and malignant ovarian tumors.