超声在卵巢巧克力样囊肿分型诊断中的应用
【摘要】 目的 分析卵巢巧克力样囊肿各分型的复杂声像图,以求提高超声对本病的临床诊断价值。
方法 回顾性分析154例卵巢子宫内膜异位囊肿患者,共158个肿块的声像图特点及分型,观察并计算各型诊断符合率。
结果 依据肿块声像特点共分7种类型。卵巢巧克力样囊肿囊内均匀光点型的符合率最高(87.5%),单纯囊肿型符合率最低(11%)。
结论 超声分型诊断卵巢巧克力样囊肿具有重要的临床意义,应用临床分型有助于提高对本病诊断符合率。
【关键词】卵巢巧克力样囊肿;超声;分型
Analysis on clinic application of ovarian endometrial cyst typing by ultrasound
HAO Xiao mei.Department of Functional,The Fifth People’s Hospital of Shenyang city,Shenyang 111000,China
【Abstract】 Objective to recognize the complicated sonograms of ovarian endometrial cyst in different sonogramtypes,and to improve the ultrasonic diagnose coincidence of this disease.
Methods The sonograms of ovarian endometrial cyst in 154 caseswith 158 pelvic masses were reviewed. They were divided into different types according to their sonogram features and the diagnose accordance rate was calculated.
Results The sonograms were divided into 7 types. The diagnose accordance rate was different:it was the highest(87.5%)in the type of homoge neous low echo cyst,while the lowest(11.0%)in the type of simple cyst.
Conclusion The method has more clinical significance,it may be useful to improve the ultrasonic diagnose coincidence.
【Key words】 Chololate cyst;Vltrasoune Type
1 资料与方法
1.1 一般资料 回顾性分析辽阳市第五人民医院2003年1月至2010年10月收治的卵巢巧克力囊肿患者154例,年龄20 55岁。痛经89例(57.8%),无明显痛经65例(42.2%);非经期盆腔痛42例(27.3%);不孕43例(27.8%)。所有病例均经手术病理证实。
1.2 方法 使用SEQUOIA 512 超声诊断仪,探头频率5~10 MHz,患者仰卧位,探头置于阴道内做纵、横、斜切面扫查,重点观察肿块形态、大...
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