女性附件肿块蒂扭转22例超声图像与临床分析

Ultrasound images of 22 cases of female ovarian tumour pedicle torsion and clinical analysis

目的探讨女性附件肿块蒂扭转的超声声像图特征及临床分析。方法对2015年6月至2017年10月在陆军军医大学第三附属医院妇科经手术病理证实为附件肿块蒂扭转的22例病例进行回顾性分析,总结其超声声像图及临床特征。结果超声提示蒂扭转的18例,超声诊断符合率81.8%。超声图像特征:盆腔及下腹部发现包块,包块大小直径6.0～17.0 cm,以囊性及囊实性回声为主,囊壁及分隔多较厚,毛糙,腔内透声差,见絮状回声,部分在肿块旁与子宫之间探及杂乱回声团与肿块相连,血流信号减少或消失,15例子宫直肠陷凹或髂窝探及积液。结论超声检查是附件肿块蒂扭转的首选方法,经腹部及经阴道超声相结合的声像图特征有重要的临床参考价值。

Objective To investigate the sonographic characteristics of female ovarian tumour pedicle torsion and clinical analysis.Methods 22 cases confirmed by surgery pathology as ovarian tumour pedicle torsion in The Third Affiliated Hospital of Army Medical University from June 2015 to October 2017 were retrospectively analyzed,summarized the ultrasonographic characteristics and clinical features.Results 18 patients with pedicle torsion were diagnosed by ultrasound,and the coincidence rate was 81.8%.The ultrasonic image characteristics:pelvic and lower abdominal mass,which size was between 6.0 cm to 17.0 cm in diameter,mostly with cystic and solid cystic echo,walls and partitions were thick and rough,poor sound transmission in cavity,flocculent echoes were seen,some clutter echo between the mass and the uterus was connected with the mass,blood flow signal decreases or disappears.There was fluid detected in the uterine rectum pit or armpit in 15 cases.Conclusion Ultrasonographic examination is the preferred method for detecting torsion of the ovarian cyst,and the combination of transabdominal and transvaginal ultrasound imaging features have important clinical reference value.