经腹部联合经阴道超声检查对卵巢囊肿蒂扭转的临床诊断价值

Analysis of Clinical Value of Transabdominal Combined Transvaginal Ultrasonography on Ovarian Cyst Pedicle Torsion

目的:探讨经腹部联合经阴道超声检查对卵巢囊肿蒂扭转的临床诊断价值。方法:选择2018年1月-2019年12月本院治疗的疑为卵巢囊肿蒂扭转患者83例。入选者均接受经腹部、经阴道超声检查。观察经腹部、经阴道超声单独及联合诊断结果,以病理诊断结果作为金标准,计算经腹部、经阴道超声单独及联合诊断卵巢囊肿蒂扭转的敏感度、特异度及准确率,观察经腹部、经阴道超声影像学表现。结果:经病理结果证实疑为83例卵巢囊肿蒂扭转患者中阳性、阴性分别为46、37例;经腹部联合经阴道超声诊断敏感度(95.65%)、准确率(91.57%)高于经腹部超声(71.74%、78.31%),经腹部联合经阴道超声诊断敏感度(95.65%)高于经阴道超声(82.61%),差异有统计学意义(P<0.05);经腹部超声显示肿块以下腹部、单侧中腹部较为常见,直径>50 mm,多数盆腔存在游离液性暗区,混合型回声、实性、单纯无回声肿块;经阴道超声显示肿块边界清晰、大小不一,部分囊内漂浮弱回声,呈团块状、浮点状、斑点状,部分囊内回声明显,腹部肿块移动性良好,囊实性、囊性包块,少数粘连腹壁,扭转蒂血管呈斑点状、麻花状、旋涡状回声。结论:经腹部联合经阴道超声检查能够提升卵巢囊肿蒂扭转诊断准确率及敏感度,为疾病诊断及治疗提供确切的影像学依据。

Objective:To explore the clinical diagnostic value of transabdominal combined transvaginal ultrasonography for ovarian cyst pedicle torsion.Method:From January 2018 to December 2019,83 patients with suspected ovarian cyst pedicle torsion were treated in this hospital.The selected candidates underwent transabdominal and transvaginal ultrasound examinations.the results of the single and combined diagnosis of transabdominal and transvaginal ultrasound were observed,and the pathological diagnosis was used as the gold standard.The sensitivity,specificity,and accuracy of the diagnosis of ovarian cyst pedicle torsion by combined and transabdominal ultrasound were calculated.The imaging findings of transabdominal and transvaginal ultrasonography were observed.Result:Among the pathological results confirmed that 83 patients suspected to be ovarian cyst pedicle torsion,with 46 were positive and 37 were negative The sensitivity(95.65%)and accuracy(91.57%)of transabdominal combined transvaginal ultrasonography diagnosis were higher than transabdominal(71.74%,78.31%),and transabdominal combined transvaginal ultrasonography diagnostic sensitivity(95.65%)was higher than transvaginal ultrasonography(82.61%),the differences were statistically significant(P<0.05);transabdominal ultrasound showed that the mass of abdomen below and unilateral mid-abdomen were more common,with diameter>50 mm,most of pelvic cavity had free liquid dark area,mixed echo,solid,pure non-echo mass;transvaginal ultrasonography showed that clear of mass boundary,different size,part of the capsule floats with weak echoes,block mass,floating-point,and spot-like,some echoes in the capsule were obvious.abdominal masses had good mobility,cystic solid and cystic mass.Small number of adhesions to the abdominal wall.The twisted pedicle blood vessels were spotted,twisted,and swirled,like an echo.Conclusion:Transabdominal combined transvaginal ultrasonography can improve the accuracy and sensitivity in diagnosis of ovarian cyst pedicle torsion,and provide accurate imaging basis for disease diagnosis and treatment.