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目的: 探讨经阴道彩色多普勒能量显像(TV-CDE) 鉴别卵巢良恶性肿块的价值。方法: 对105 例卵巢肿块患者于术前1～7 天进行TV-CDE检查, 与术后病理对照。结果: 恶性组血管分布及血流动力学特征与良性组比较, 存在明显差异。在此基础上提出血管评分系统, 并以≥7 为界值, 回顾性评价了119 枚卵巢肿块的良、恶性,其敏感性为100% , 特异性94.25% , 阴性预测值100% , 阳性预测值86.84% 。结论: 此血管评分系统对卵巢肿块良恶性判断具有较好的预测性
Objective: To investigate the value of transvaginal color Doppler energy imaging (TV-CDE) in differential diagnosis of benign and malignant ovarian tumors. Methods: TV-CDE was performed in 105 patients with ovarian masses 1 to 7 days before operation, and compared with postoperative pathology. Results: Vascular distribution and hemodynamic characteristics in malignant group were significantly different from those in benign group. On this basis, a vascular scoring system was proposed, and 119 ovarian masses were retrospectively evaluated for benign and malignant tumors with a sensitivity of 100%, a specificity of 94.25%, a negative predictive value of 100%, and a positive predictive value of ≥7 Value 86.84%. Conclusion: This vascular scoring system has a good predictive value for benign and malignant ovarian tumors