卵巢肿块400例超声诊断与病理对照分析

Diagnostic value of ultrasonography in comparison with pathological findings in 400 cases of ovarian mass

目的了解不同病理类型的卵巢肿块在各年龄组中的分布,更好地帮助超声诊断及其鉴别诊断。方法选择B超声诊断卵巢肿瘤并行手术治疗病理结果400例,按不同年龄分组进行超声诊断分析及病理分析。结果超声诊断卵巢肿瘤并手术者,病理结果卵巢良性肿瘤257例(64.3%),恶性肿瘤6例(1.5%),巧克力囊肿70例(17.5%),其他瘤样病变67例(16.8%)。超声诊断与病理符合率巧克力囊肿、畸胎瘤、浆液性囊腺瘤、黏液性囊腺瘤分别为87.5%、96.6%、47.8%和40.0%;超声诊断囊性包块病理良性100.0%,囊实性包块病理良性占96.2%,恶性占3.8%;超声诊断实性包块病理良性占100.0%,恶性占100.0%。结论超声诊断卵巢肿块简便、客观,可有效地帮助临床诊疗。

Objective To study various pathologic types of ovarian mass in different age groups in order to improve the significance of ultrasonagraphy in diagnasis and differential diagnosis. Methods 400 patients with ovarian mass were examined by color Doppler ultrasonography. They were grouped and analyzed according to different age ranges. All masses removed were performed for pathological examination postoperatively. Results Among 400 eases of ovarian mass, 257 of them were diagnosed as benign neoplasms （64.3 % ）, 6 cases as malignant neoplasms （ 1. 5% ） ,70 eases as ovarian chocolate eystoma （ 17.5% ） and 67eases as other neoplastic lesions （ 16.8% ）. The diagnostic accordance rates to pathological findings of chocolate eystoma, teratoma, serous eystadenomas and mueinous eystadenoma were 87.5% ,96.6% ,47.8% and 40.0% respectively. The diaglnostie accordance rates to pathological findings of benign cystic mass, benign cystic - solid mass, malignant cystic - solid mass, benign solid mass and malignant solid mass were 100% ,96.2% ,3.8%, 100% and 100% respectively. Conclusion Color Doppler ultrasonagraphy is an objective and simple approach for diagnosis of ovarian mass, and it may provide valuable diagnostic evidence for clinical treatment.