摘要
为研究超声对卵巢肿瘤蒂扭转诊断的临床价值，最终寻找出一些超声诊断规律，对８５例经手术和病理证实的卵巢肿瘤蒂扭转患者临床资料和声像图表现进行分析。结果发现小于２０岁组、２０～４０岁组与大于４０岁组比较，分别有高度显著性差异（Ｐ值＜０．０１）或显著性差异（Ｐ值＜０．０５）。所有患者超声图像有如下共同特征：①患侧卵巢消失，盆腔及下腹部发现异常包块；②包块多位于腹正中线及子宫前方或在盆底；③包块中等大小（平均９．１ｃｍ），以囊性及混合性多见；④包块中彩色血流减少或消失；⑤患侧探头触痛试验阳性，部分病例可伴有子宫直肠陷凹积液。超声诊断符合率为８５％（７２／８５）。
To evaluate the clinical value of B mode ultrasonography in the diagnosis of twisted ovarian tumor and find out some ultrasonographic diagnostic criteria, methods to examine acute abdominal pain with pelvic cavity emphasized. In comparision with more than 40 years old groups and other different groups, the differences were significant at incidence (P<0.01 & P<0.05). The ultrasonographic features were as follow: ① Ovary of the affected side disappeared. Sonographic examination displayed an abnormal pelvic or low abdominal masses; ②The masses were usually at the midline of abdomen, anterior to the uterus or at the base of pelves; ③The masses were medium sized (mean diameter: 9.1 cm), cystic and mixed masses were common; ④Echoes of CDFI in the masses were decreased or disappeared; ⑤Presence of tenderness when probe was pressed on the affected side in some cases, fluid accumulation of uterine rectal cul de sac. The coincidence rate of ultrasonography was 85% (72/85). It is suggested that B mode ultrasonography provides valuable information for the early diagnosis of twisted ovarian tumor and differential diagnosis of pelvic masses.
出处
《中华超声影像学杂志》
CSCD
1998年第6期353-356,共4页
Chinese Journal of Ultrasonography
关键词
卵巢肿瘤
蒂扭转
声像图
诊断
ovarian tumor\ \ twisted pedicle\ \ imaging characteristics
