超声下卵巢巧克力囊肿与盆腔其他囊性包块鉴别诊断的要点分析

The Analysis of Differential Diagnosis Between Ovarian Endometriomas and Other Pelvic Cystic Mass by Ultrasonography

目的:探讨超声下卵巢巧克力囊肿与盆腔其他囊性包块鉴别诊断的价值。方法:应用彩色多普勒诊断仪观察78例卵巢巧克力囊肿的图像特征,即囊肿的形态、边缘、位置、内部回声与周围组织的关系等。结果:78例卵巢巧克力囊肿,经手术及腹腔镜手术后病理证实为巧克力囊肿者73例(93.6%),3例为炎性包块,1例为黏液性囊腺瘤,1例为皮样囊肿。结论:超声诊断对卵巢巧克力囊肿、盆腔其他囊性包块的鉴别诊断有重要意义。

Objective：To approach the differential diagnosis between chocolate cyst and other cyst mass in pelvic by ultrasound.Method：The 78 cases of ovarian endomentriomas were tested by color Doppler sonography,including their shapes,edges, intraechoes and relationship with around tissue.Results：Of 78 cases of ovarian endomentriomas,73 cases were confirmed by operation,under ultrasonic lead,or laparoscopic operation（93.6%）.3 cases were inflammatory mass,1 case was mucinous cystadenoma,1 was dermoid cyst.Conclusion：It is significant to identify the difference between chocolate cyst of ovary and other cyst mass of pelvic cavity by diagnostic ultrasound.