秦民惠,闫吉正,赵丽雅,邹荣莉.卵巢肿瘤蒂扭转超声诊断与鉴别[J].中国医学影像技术,1999,15(11):891~892
卵巢肿瘤蒂扭转超声诊断与鉴别
Ultrasonic Diagnosis and Differentiation of Twisted Ovarian Tumor
投稿时间:1999-06-04  
DOI:
中文关键词:  卵巢肿瘤  蒂扭转  超声诊断
英文关键词:Ovarian tumor  Twisted pedicle  Ultrasonic diagnosis
基金项目:
作者单位
秦民惠 陕西省人民医院超声诊断科 
闫吉正 陕西省人民医院超声诊断科 
赵丽雅 陕西省人民医院超声诊断科 
邹荣莉 陕西省人民医院超声诊断科 
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中文摘要:
      目的 探讨超声对卵巢肿瘤蒂扭转的诊断价值。方法 应用超声检查经手术病理证实的卵巢肿瘤蒂扭转23 例,并对其超声图像进行综合分析。结果 超声图像特征如下:①扭转的卵巢肿瘤多为囊性或混合性,中等大小,平均直径为8.7cm .②肿瘤位置偏高,多位于子宫左、右前上方或子宫正前上方。③肿瘤壁多较光滑,瘤内可呈现数量不等的暗淡光点。④部分病例伴有宫后区少量积液。⑤CDFI有时可见瘤蒂血管扭转呈“麻花”样改变。⑥如病情允许动态观察则可见肿瘤体积进行性增大。与手术病理对照,超声诊断符合率78 % .
英文摘要:
      Purpose To evaluate the ultrasonic diagnostic value of twisted ovarian tumor.Methods ultrasonography was performed in 23 cases of twisted ovarian tumor confirmed by surgery and pathology.The ultrasonic images were analyzde.Results The ultrasonographic features were as follow:①The masses were commonly cystic or mixed,the size was medium(mean diameter 8 7cm).②The masses were usually at the left and right anterior to the uterus or at the midline of abdomen.③The Tumor's wall was usually smooth,there are some dim echo in the inside of the tumor.④There was a little fliud accumulation behind the uterus in the some cases.⑤Sometime twisted blood vessels of the pedicle can be seen in CDFI.⑥If the continued observation was permited,we can see that the tumer become gradually bigger.The coincidence rate of ultrasonography was 78%.Conclusion The ultrasonic imaging characteristics of twisted ovarian tumor can provides valuable information for the ultrasonic diagnosis and differentiation of the disease,there is important value in the clinical diagnosis.
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