女性盆腔包虫囊肿的超声表现及其分型  

Diagnosis and classification of female echinococcosis in pelvic cavity by ultrasonography

作　　者：于兰[1] 王梅[1] 徐明谦[2] 

机构地区：[1]新疆自治区人民医院超声科,830001 [2]乌鲁木齐卫生部包虫病防治培训基地临床部

出　　处：《中华医学超声杂志（电子版）》2008年第5期14-16,共3页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨女性盆腔包虫病的超声表现及其分型。方法回顾性分析40例经超声诊断及手术病理证实的盆腔包虫病患者的影像学资料,分析超声表现及各型特征。结果40例中6例单发型包虫囊肿声像图表现为盆腔圆形或类圆形囊肿,伴增厚的囊壁回声;11例多发型包虫囊肿,在盆腔内有2个以上包虫囊肿,呈"囊连囊"征象;15例子囊型包虫囊肿,在母囊无回声区内见多个大小不等环形中强回声,形成"囊中囊"征象;5例感染型包虫囊肿表现囊内絮状不均的回声;3例破裂型包虫囊肿显示内囊塌陷,囊内显示条状回声。结论超声检查能显示女性盆腔包虫病部位和形态,为手术治疗提供可靠的影像学依据。Objective To analyze pelvic cystic echinococcosis by ultrasonography and assess the value of uhrasonographic diagnosis. Methods The ultrasound characteristics for forty cases of female pelvis echinococcosis diagnosed by surgery and pathology were analyzed and compared. Results The simple cystic echinococcosis was shown as round or round-like hydatid cysts with a thick wall in 6 cases by uhrasonogra- phy. Two or more cystic dark spaces of hydatid cyst were detected in pelvis with multiple hydatid cysts having ＂cyst-fink-cyst＂ sign in 11 cases. In the presence of daughter cysts, the different sizes of spherical intensified light tings were visualized in the dark space of mother cyst with a characteristic ＂cyst-in-cyst＂ sign in 15 cases. The light floccules showed heterogeneous echo in the five infectious hydatid cysts. The ruptured and collapsed endocyst produced hand echos in 3 cases. Conclusions The location and appearance of the cystic echinococcosis could be accurately examined by ultrasound, which provided valuable information for diagnosis and treatment.

关 键 词：棘球蚴病 超声检查 临床分析 治疗方法 

分 类 号：R532.32[医药卫生—内科学] R445.1[医药卫生—临床医学]