超声在诊断青春期儿童卵巢黄体囊肿出血中的价值

Diagnostic Value of Ultrasound in Hemorrhagic Corpus Luteum Cyst During Puberty

目的探讨超声在诊断青春期儿童卵巢黄体囊肿出血中的价值.方法回顾性分析2016年1月-2018年8月收治的30例超声诊断为卵巢黄体囊肿出血的青春期(10~14岁)女性患儿的超声表现,其超声检查结果均与手术病理或跟踪随访结果进行对比.结果30例超声诊断为卵巢黄体囊肿出血的患儿,其中,行手术治疗者10例,术后结果显示,超声诊断符合6例,符合率60%.其中1例证实为卵巢囊肿出血坏死,1例为卵巢扭转,2例为卵巢囊肿扭转致出血性梗死,跟踪随访20例,超声诊断符合16例,符合率为80%.结论超声对诊断青春期儿童卵巢黄体囊肿出血具有重要的作用.

Objective To investigate the diagnostic value of ultrasound in hemorrhagic corpus luteum cyst (HCLC) during puberty. Methods The medical records of 30 pubertal girl patients with HCLC diagnosed by ultrasound in Children's Hospital of Soochow University from January 2016 to August 2018 were analyzed retrospectively, the ultrasonography findings were compared with surgical pathology or follow-up. Results A total 6 cases were diagnosed by ultrasonography in 10 cases which were confirmed by operation and the diagnostic accuracy was 60%. And 1 case was diagnosed with hemorrhagic necrosis of ovarian cyst, 1 case was diagnosed with ovarian torsion, 2 cases were diagnosed with hemorrhagic infarction due to torsion of ovarian cysts. A total 16 cases were diagnosed by ultrasonography in 20 cases which were confirmed by follow-up. Conclusion Ultrasonography plays an important role in the diagnosis of HCLC during puberty.