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目的:探讨卵巢肿瘤的彩色超声图像特征中能够鉴别诊断出恶性肿瘤的危险因素有哪些。方法:回顾性分析193例卵巢肿瘤患者的临床资料,总结出卵巢肿瘤的11种彩超特征。将患者随机分为试验组92例和对照组101例,分析试验组利用Logistic回归建立能够提示恶性肿瘤风险的三级危险分层,并在对照组中检验此危险分层的临床应用价值。结果:高危因素是彩超提示的肿瘤含有内部血流,中危因素包括肿瘤为厚壁、厚分隔和含有实性或不规则区域,低危因素包括肿瘤为单纯囊肿、薄分隔、较稠回声及低回声等。结论:对于卵巢肿瘤患者,若其彩超结果能排除高危及中危因素,那么其为恶性肿瘤的几率较低。
Objective: To explore the risk factors for the differential diagnosis of malignant tumors in the ovarian tumor color ultrasound image features. Methods: The clinical data of 193 patients with ovarian tumors were retrospectively analyzed. Eleven kinds of color Doppler ultrasound features of ovarian tumors were summarized. The patients were randomly divided into experimental group (n = 92) and control group (n = 101). Logistic regression analysis was used to establish the third-level risk stratification in the experimental group and the control group to test the clinical value of this risk stratification. Results: The high risk factor was that the color doppler showed that the tumor had internal blood flow. The medium risk factors included the thick wall, the thick separation and the solid or irregular area. The low risk factors included the tumor was simple cyst, thin separation, thicker echo and Low echo and so on. Conclusions: For patients with ovarian tumors, if the color Doppler ultrasound results exclude high-risk and intermediate-risk factors, their risk of malignancy is low.