经腹联合阴道超声诊断132例附件肿块与病理对照研究

Evaluation of transabdominal ultrasonography(two-dimensional) combined with transvaginal color Doppler ultrasonography for diagnosis of 132 pelvic mass patients

目的探讨经腹联合阴道彩色多普勒对附件肿块的诊断、鉴别诊断价值,为临床选择合理的治疗方式提供参考依据。方法回顾性分析2011年4月~2012年6月武汉市中心医院132例经腹联合阴道超声检查附件肿块结果,并与术后病理结果对照。结果经腹联合阴道超声诊断附件肿块中恶性肿瘤14例,囊腺瘤19例,卵巢膜纤维瘤5例,巧囊34例,畸胎瘤22例,卵巢输卵管囊肿22例,炎性11例,阔韧带肌瘤5例。超声诊断符合121例（91.67%）,不符合11例（8.33%）。结论经腹联合阴道超声对女性附件肿块具有较高诊断价值,可成为卵巢肿瘤首选检查手段。对部分超声图像的交界性表现,应注意结合临床情况分析,减少误诊、漏诊。

[ Objective ] To evaluate the clinical value of trans-abdominal uhrasonography combined with trans- vaginal color Doppler uhrasonography （TV-CDUS） for the preoperative diagnosis of pelvic mass and its role in dis- criminating benign from malignant ovarian tumors. [Methods ] A total of 132 patients with pelvic mass examined by two-dimensional ultrasonography and trans-vaginal color Doppler ultrasonography, then compared with the patholog- ical diagnosis. [Results] All of the 132 patients, 14 patients with ovarian benign tumor, 19 patients with eystadeno- ma, 5 patients with fibroid tumor, 34 with Chocolate cyst, 22 with dermoid tumor, 22 with Cyst of fallopian tube, 5 with broad ligament muscular tumor, 11 with phlegmasia mass. The 91.67% patient＇s diagnosis by two-dimensional ultrasonography combined with trans-vaginal color Doppler uhrasonography is exactitude. [ Conclusions ] The diag- nostic value of pelvic mass by trans-abdominal ultrasonography combined with trans-vaginal color Doppler ultra- sonography is efficacious. When the characteristic of mass is ambiguity, the clinical characteristics and other exami- nation results should be taken into our minds to give the accurate diagnosis, avoiding misdiagnosis and mistreatment.