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应用经阴道彩色多普勒超声介入性超声及血清铁蛋白诊断早期卵巢癌的研究

The diagnostic value of early ovarian cancer by transvaginal color Doppler ultrasound,invasive ultrasound and serum ferritin.Obstet & Gynecol Hospital of Shanghai Medical University(200011).

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【作者】 朱关珍常才丰有吉金福明华克勤赖东梅任芸芸张珏华杨建之

【Author】 Zhu Guanzhen,Chang Cai,Feng Youji,et al.

【机构】 上海医科大学妇产科医院

【摘要】 目的:探讨卵巢癌早期诊断的方法。方法:采用彩色多普勒超声(彩超)及介入性超声自动活检技术、血清铁蛋白检测技术,对64例卵巢疾病患者进行检查。结果与病理学诊断对比。结果:64例彩超检查结果卵巢良性病变36例,恶性肿瘤28例,彩超诊断符合率891%。其中23例进行了超声引导下自动活检,均获得足够的组织进行病理学检查,与手术后病理诊断的符合率为826%。而26例术前同时测定血清铁蛋白含量,发现卵巢恶性肿瘤患者血清铁蛋白含量明显高于良性病变患者,诊断恶性肿瘤的正确率为615%。结论:彩超、介入性超声自动活检技术在正确诊断卵巢恶性肿瘤方面具有一定的价值,血清铁蛋白的测定对判断卵巢恶性肿瘤也有帮助。

【Abstract】 Objective:To evaluate the methods of diagnosing early ovarian cancer.Design:64 cases with ovarian mass were examined by transvaginal color Doppler imaging (TVCDI),23 cases by mvasive ultrasound and auto biopsy,and 26 cases assessed by serum ferritin.The results were compared with histopathological results.Result:There were 36 cases with ovarian benign diseases and 28 cases with malignant ovarian tumor.TVCDI diagnostic rate was 89.1% in 64 cases,invasive auto biopsy diagnostic rate was 82.6% in 23 cases.The levels of serum ferritin were remarkably increased in patients with ovarian malignant tumor.The diagnostic rate was 61.5%.Conclusion:TVCDI and invasive auto biopsy are effective methods in diagnosing early ovarian cancer,it is useful for serum ferritn to assess the ovarian malignant tumor . \ \

【基金】 卫生部基金
  • 【文献出处】 中国实用妇科与产科杂志 ,CHINESE JOURNAL OF PRACTICAL GYNECOLOGY AND OBSTETRICS , 编辑部邮箱 ,1998年03期
  • 【分类号】R737.31,R445.1
  • 【被引频次】9
  • 【下载频次】79
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