目的:本研究的目的是评价彩色多普勒超声对卵巢静脉的诊断价值。卵巢静脉病变的临床发病率相对较低且经常被忽视。卵巢静脉位于骨盆深处,它们相对细长,这可能会使医学成像更加困难。因此,关于卵巢静脉疾病诊断的文献有限。目的评价彩色多普勒超声对卵巢静脉的诊断价值。
方法:共纳入37例临床怀疑卵巢静脉疾病的连续患者。所有患者均行彩色多普勒超声检查。在31例患者中进行了CTV,6例患者进行了逆行静脉造影。CT/静脉造影是卵巢静脉疾病的既定诊断标准。采用SPSS22.0程序进行统计分析。灵敏度,特异性,并计算彩色多普勒超声的阳性和阴性预测值。使用k检验评估彩色多普勒超声检查与CT/静脉造影之间的一致性。
结果:在37例患者中,卵巢静脉功能紊乱阳性18例,阴性19例,用彩色多普勒超声评估。相关病变包括卵巢静脉血栓形成(7例),卵巢精索静脉曲张(3例),卵巢静脉平滑肌瘤(8例)。灵敏度的计算值,特异性,阳性预测值和阴性预测值分别为94.4%,94.7%,94.4%,和94.7%,分别。总体准确率为94.9%。CT/静脉造影与彩色多普勒超声的吻合度k水平为0.892。
结论:彩色多普勒超声可以提供足够的影像学信息。在临床超声检查中,应注意识别和检测卵巢静脉病变。
The purpose of this study was to evaluate the diagnostic value of colour Doppler sonography for ovarian veins. The clinical incidence of ovarian venous lesions is relatively low and often overlooked. The ovarian veins are located deep in the pelvis, and they are relatively elongated, which could make medical imaging more difficult. Therefore, there is limited literature on the diagnosis of ovarian venous disease. The purpose of this study was to evaluate the diagnostic value of colour Doppler sonography towards ovarian vein.
A total of 37 consecutive patients with clinically suspected ovarian venous disorders were included. All the patients underwent colour Doppler sonography. CTV was performed in 31 patients, while retrograde phlebography was performed in 6 patients. CT/phlebography was the established diagnostic criterion for ovarian vein disorders. The SPSS 22.0 program was used for statistical analysis. Sensitivity, specificity, and positive and negative predictive values for colour Doppler sonography were calculated. k-test was used to evaluate consistency between colour Doppler sonography and CT/phlebography.
In the 37 patients,18 cases were positive for ovarian vein disorders and 19 cases were negative, as assessed with colour Doppler sonography. The associated lesions included ovarian vein thrombosis (7 cases), ovarian varicocele (3 cases), and ovarian venous leiomyoma (8 cases). The calculated values of sensitivity, specificity, and positive and negative predictive value were 94.4%, 94.7%, 94.4%, and 94.7%, respectively. The overall accuracy rate was 94.9%. The k level of the degree of agreement between CT/phlebography and colour Doppler sonography was 0.892.
Colour doppler sonography can provide sufficient imaging information. In clinical ultrasonography, attention should be paid to recognizing and detecting ovarian venous lesions.