小儿卵巢肿瘤的超声诊断

Ultrasonographic Diagnosis of Ovarian Tumors in Children

目的:探讨彩色多普勒超声诊断小儿卵巢肿瘤的价值。材料和方法:回顾性分析24例超声诊断为小儿卵巢肿瘤的超声声像图表现并与手术、病理结果对照。结果:1例膀胱横纹肌肉瘤误诊为卵巢实质性肿瘤。23例经手术确诊为小儿卵巢肿瘤的病例中,4例超声诊断与病理不符,其中1例卵巢囊肿伴扭转坏死误诊为卵巢成熟畸胎瘤;1例卵巢成熟畸胎瘤伴扭转坏死及2例卵巢上皮性肿瘤伴扭转坏死误诊为卵巢囊肿伴扭转。超声诊断9例卵巢肿瘤伴扭转,术中证实扭转7例,6例坏死。结论:超声诊断小儿卵巢肿瘤及其是否扭转准确性较高,可作为首选影像学检查方法。

Purpose： To explore the value of ultrasonography in the diagnosis of ovarian tumors in children. Materials and Methods： The sonographic features in 24 cases of ovarian tumors diagnosed by pathology were retrospectively studied. Results： Ultrasound correctly diagnosed 19/23 ovarian tumors confirmed by surgery. One bladder rhabdomyosareoma was misdiagnosed as ovarian tumor. 4/23 ovarian tumors were misinterpreted as mature teratoma and ovarian cysts, which did not correspond to pathological findings. Among 9 cases diagnosed as torsion of ovarian by CDFI, 7 were confirmed during surgery, and 6 had necrotic foci. Conclusion： Sonography can be an optimal method in the diagnosis of ovarian tumors and torsion in children.