二维超声对卵巢纤维瘤的诊断价值

The value of two dimensional ultrasonography in the diagnosis of ovarian fibromas

目的 探讨二维超声对卵巢纤维瘤的诊断价值。方法 45例拟诊为卵巢纤维瘤的患者 ,术前 1周行二维及彩色多普勒超声检查 ,观察其声像图特征 ,术后经病理组织学验证。结果 45例中有 3 8例为卵巢纤维瘤患者 ,超声诊断符合率为 84.4%。其中单侧 3 4例 ,双侧 4例 ,共查出 42枚肿瘤。声像图特征 :均质低回声为主 (3 5枚 ,占 83 .3 % ) ;少数肿瘤伴变性 (7枚 ) ,呈不均匀混合回声。 3 8例患者中有 1例伴胸腹水 ,即Meigs综合征 ;有 12例伴腹水。结论 以二维超声为基础 ,结合彩色多普勒血流显像 。

Objective To evaluate the value of two dimensional ultrasonography in the diagnosis of ovarian fibromas.Methods Forty five supposed diagnostic ovarian fibromas patients were examined in one week before operation by two dimensional and color Doppler ultrasonography,to view the ultrasonography imaging features. Post operative pathology was carried out to prove the results.Results Thirty eight cases were ovarian fibromas out of the forty five cases,whose accurate rate of ultrasound diagnosis was 84.4 %.Among these cases, the single side tumors existed in thirty four cases and the double sides existed in four cases. Forty two tumors were checked out all together. The ultrasonography imaging features:uniform low echo was the majority(thirty five masses,occupied 83.3 %),the minority(seven masses)were accompanied by deterioration,displaying mixed echo.One case was accompanied by pleural effusion and ascites, namely Meigs syndrome; twelve cases were accompanied by ascites.Conclusions Correct diagnosis rate can be improved by color Doppler flow imaging on the basis of two dimensional ultrasonography.