盆腔结核的超声误诊分析  

Misdiagnosis analysis of ultrasonography in pelvic tuberculosis

作　　者：郭云怀[1] 马力[1] 李一锋[1] 霍华[1] 王金霞[1] 

机构地区：[1]广东省第二人民医院超声科,广东广州510317

出　　处：《罕少疾病杂志》2009年第2期42-44,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析探讨盆腔结核的超声误诊原因,以提高盆腔结核的超声诊断水平。方法回顾性分析我科2003年1月～2008年6月进行超声检查,且超声诊断与病理及临床不符的8例盆腔结核的超声表现,分析误诊原因。结果8例超声误诊病例中:3例误诊为巧克力囊肿,2例误诊为卵巢恶性肿瘤,3例误诊为盆腔炎性包块。结论不典型盆腔结核单靠超声图像容易误诊,超声诊断者的经验、结合病史和临床表现以及其它实验室检查结果对于提高盆腔结核诊断准确性很重要。Objective To analyze the misdiagnosis reasons of ultrasonography in pelvic tuberculosis and to improve the diagnostic accuracy of ultrasonography. Methods The images in 8 cases misdiagnosed on ultrasonography were reviewed and the reasons were analyzed. Results There were 8 misdiagnosis cases, 3 were misdiagnosed as chocolate cyst, 2 were misdiagnosed as ovarian cancer, and 3 were misdiagnosed as pelvic inflammatory disease. Conclusion The accuracy of ultrasound diagnosis depends not only on the characteristics of ultrasonic pictures,but also on the observers experience and the history and clinical symptoms and other examination.

关 键 词：盆腔结核 超声检查 误诊 

分 类 号：R52[医药卫生—内科学] R445.1[医药卫生—临床医学]