经阴道超声诊断卵巢子宫内膜异位囊肿的价值

The Value of Transvaginal Ultrasound in Diagnosis of Ovarion Endometriosis Cysts

目的:探讨经阴道超声诊断卵巢子宫内膜异位囊肿的价值。方法:分析167个经术前超声或术后病理诊断为卵巢子宫内膜异位囊肿的囊肿声像图特征,并将术前超声与手术病理结果作对照。结果:167个囊肿声像图特征可分为6型:单纯囊肿型、囊内均匀光点型、多囊型、囊内团块型、混合型、实性团块型。其诊断符合率以均匀光点型最高(94.7%),单纯囊肿型最低(14.3%)。术后病理证实的卵巢子宫内膜异位囊肿共146个,超声诊断与术后病理符合率为87.4%。结论:经阴道超声对卵巢子宫内膜异位囊肿具有重要诊断价值,但仍需与卵巢黄体囊肿、卵巢黏液性囊腺瘤、囊性畸胎瘤、卵巢脓肿等相鉴别。

Objective：To investigate the diagnostic value of transvaginal ultrasound on ovarion endometriosis cysts.Methods：We compared and analyzed the ultrasonographic manifestations and pathological findings of 167 ovarian cystic masses which were confirmed by preoperative ultrasound or post-operative pathologic diagnosis.Results：The ultrasonic features were categorized into 6 types.The diagnose accordance rate was different：it was the highest in the type of homogeneous-low-echo cyst（94.7%）,while the lowest in the simple cyst（14.3%）.146 cysts were diagnosed histologically endometrial cysts.The diagnostic accuracy of transvaginal ultrasound was 87.4%.Conclusion：The transvaginal ultrasonic features of endometrial cysts are of important diagnostic value,whereas differentiation with other histological cysts.