青春期卵巢肿瘤的超声表现与病理对照分析

Ovarian masses in puberty: ultrasonographic characteristics and pathological typing

目的：探讨青春期卵巢肿瘤的超声声像特征及病理类型分布。方法：选取我院治疗并确诊的13-18岁青春期卵巢肿瘤患者93例共97个卵巢肿块,对术后病理结果及术前超声表现,结合年龄、临床表现等方面进行回顾性分析。结果：97个卵巢肿块中,超声表现为囊性、混合性及实性回声的个数分别为32（32%）、62（63%）及3（3%）,良性、恶性、交界性肿瘤及卵巢瘤样病变个数分别为71（73.19%）、5（5.15%）、4（4.12%）及17（17.52%）。52例（53.60%）卵巢肿瘤为生殖细胞肿瘤,其次为上皮性肿瘤（25例,25.77%）。卵巢恶性肿瘤中,生殖细胞肿瘤最多见（3例）,其次为性索间质肿瘤（1例）、上皮性肿瘤（1例）。结论：青春期女性进行妇科超声检查有一定的必要性,大部分卵巢肿瘤可根据声像图特征初步判断肿瘤的良恶性,对临床处理有一定的指导意义。

Objective： To analyze the ultrasonographic characteristics of ovarian masses in puberty and their pathological typing. Methods： Ninety-three patients（ 13-18 years） examined and treated in our hospital were selected. The pathological results and preoperative sonographic findings combined with clinical manifestations were retrospectively analyzed. Results： Ninety- seven ovarian masses were tested,including 71（ 73. 19%） benign tumors,5（ 5. 15%） malignant tumors,4（ 4. 12%） borderline tumors and 17（ 17. 52%） tumor-like lesions. The most common benign ovarian tumor was germ cell tumor（ 52 cases,53. 60%）,followed by epithelial tumors（ 25 cases,25. 77%）,while the germ cell tumor（ 3 cases） was most commonly found in ovarian malignant tumors,followed by the sex cord stromal tumor（ 1 case） and epithelial tumor. Conclusion： Ultrasound examination of uterus and ovaries of girls in puberty is necessary. Most of the ovarian tumors can be preoperatively diagnosed according to their ultrasonographic findings,which plays an important role in guiding the clinical treatment.