361例女性盆腔包块的超声诊断分析

目的探讨女性盆腔包块的B型超声声像图表现及诊断价值。方法对361例B超诊断为盆腔包块的病例进行回顾性分析,分析其手术、病理结果、治疗性诊断结果与B超诊断的符合情况。结果361例病例中卵巢肿块的B超诊断敏感性为86.55%,特异性为93.39%,其中畸胎瘤的B超诊断敏感性为75.76%,特异性为93.10%;巧克力囊肿的B超诊断敏感性为75.93%,特异性为95.45%;黏液性囊腺瘤B超诊断敏感性为80.00%,特异性为99.14%;浆液性囊腺瘤的B超诊断敏感性为75.00%,特异性为99.12%;单纯性囊肿的B超诊断敏感性为75.00%,特异性为99.05%。异位妊娠的B超诊断敏感性为86.40%,特异性为92.80%。盆腔炎性包块的B超诊断敏感性为98.29%,特异性为99.19%。结论女性盆腔包块在B超影像上有一定特征,较之其他影像学检查有比较大的优越性。

Objective To investigate the B-mode ultrasound image and the diagnostic value of Famale Pelvic Lumps.Methods Analyzing the B-mode ultrasound diagnosis of 361 cases with pelvic lumps,which were later proved by surgical?pathological methods or treatment.Analyzing the coincidence rate of the diagnosis between them. Results The sensitivity of B-mode ultrasoundin diagnosis of ovarian mass?extra-uterine gestation and pelvic infectious mass were 86.55%?86.40% and 98.29%,and the speciality were 93.39%?92.80% and 99.19%?Conclusions There is some feature on the B-mode ultrasound image of Famale Pelvic Lumps,and B-mode ultrasound is superior to other imageological methods. [