经阴道超声诊断卵巢黄体  

Diagnosis of Ovarian Corpus Luteum with Transvaginal Ultrasonography

作　　者：彭玉[1] 李凤[1] 

机构地区：[1]东莞市莞城医院,广东省东莞市511700

出　　处：《中国超声诊断杂志》2005年第4期291-293,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的　探讨卵巢黄体的声像图表现及特征,分析误诊原因。方法　对2 5 5例临床可疑盆腔肿块的患者进行经阴道超声检查。结果　经阴道超声首诊卵巢黄体2 39例。超声追踪或手术病理结果证实2 4 8例。将卵巢黄体误诊为其它疾病16例,将其它疾病误诊为卵巢黄体7例。最常见的是与宫外孕、巧克力囊肿、畸胎瘤、炎症性病变之间的误诊。超声首诊符合率90 .98% ,误诊率9.0 2 %。结论　经阴道超声诊断卵巢黄体时操作方便,诊断符合率高,但也有一定的误诊比例。结合病史和临床表现、综合分析超声图像特征有助于提高早期诊断符合率。Objective To evaluate US scan of ovarian corpus luteum and to analyze the causes of misdiagnosis.Methods In total 255 cases suspected of pelvic masses were scaned with transvaginal ultrasonography (TVUS).Results First TVUS diagnosed ovarian corpus luteum was in 239 cases out of 255.Ovarian corpus luteum in 248 cases were accurately diagnosed by operative pathology or confirmed by TVUS tracking survey.Sixteen cases with ovarian corpus luteum were misdiagnosed as other diseases of ovarian corpus luteum in 7 cases.The most common misdiagnosed diseases were ectopic pregnancy,chocolate cyst,teratoma or inflamed disease changes instead of ovarian corpus luteum.The accurate rate for the first time of correct diagnosis was 90.98% and the misdiagnosis rate is 9.02%.Conclusions TVUS is accurate in diagnosing ovarian corpus luteum,but misdiagnosis may occur.US combined with history and clinical data may improve the diagnostic accuracy.

关 键 词：卵巢 黄体 经阴道超声诊断 误诊 首诊 符合率 疾病 常见 巧克力囊肿 手术病理 

分 类 号：R737[医药卫生—肿瘤] R711[医药卫生—临床医学]