卵巢肿瘤蒂扭转超声诊断与鉴别诊断

Ultrasonic DIagnosis and Differential Diagnosis of Twisted Ovarian Tumor

目的 探讨超声对卵巢肿瘤扭转的诊断价值。方法 应用超声检查经手术病理证实的卵巢肿瘤蒂扭转 36例 ,并对其超声图像进行综合分析。结果 ①盆腔及下腹部发现异常包块 ;②包块多位于腹正中线、盆底及子宫正前上方 ;③包块中等大小(平均 8.0cm) ;④患侧探头触痛试验阳性 ,与术后病理对照超声诊断符合率 82 %。结论 卵巢肿瘤蒂扭转超声检查是简便有效的首选方法 ,上述超声图像特征可做为超声诊断与鉴别的依据 。

Objective To evaluate the clinical value of B-mode ultrasonography in the diagnosis of twisted ovarian tumor. Methods In comparision with more than 36 cases,the ultrasonographic features were as follows:①Sonographic examination displayed in abnormal pelvic or low abdominal masses. ②The masses were usually at the midline of abdomen,anterior to the uterus of at the base of pelves. ③The masses were middle sized (mean diameter 8.0 cm) ④ Presence of tendeness when probe was pressed on the affected side in some cases,the coincidence rate of ultrasonography was 80%. Conclusion It is suggested that B-mode ultrasonography provides valueble information for the diagnosis of twisted ovarian tumor.