高频凸阵探头对婴幼儿卵巢肿瘤的诊断价值  

High Frequency Convex Ultrasound Probe in the Diagnosis of Ovarian Tumor in Infants and Young Children

作　　者：李红艳[1] 董凤群[1] 王霞[1] 樊艳辉[1] 贺新建[1] 赵雪然[1] 

机构地区：[1]河北省儿童医院功能科,河北石家庄050031

出　　处：《中国医学影像学杂志》2013年第12期936-938,共3页Chinese Journal of Medical Imaging

基　　金：河北省医学适用技术跟踪项目(GL2012010)

摘　　要：目的探讨高频凸阵探头对婴幼儿卵巢肿瘤的超声特征及诊断价值。资料与方法采用高频凸阵探头对69例婴幼儿卵巢肿瘤患儿进行检查,并分析其声像图特点。结果 69例中,肿瘤居右侧45例,左侧24例;27例单纯性囊肿,24例良性畸胎瘤,9例交界性畸胎瘤,3例浆液性囊腺瘤,3例黏液性囊腺瘤,3例卵黄囊瘤;24例伴扭转坏死。婴幼儿卵巢肿瘤囊中囊结构多见,肿瘤内强回声后方声影不明显,良、恶性未见特异性表现。肿瘤边缘卵巢组织的彩色多普勒超声检查对于提示卵巢扭转及坏死具有重要意义。结论高频凸阵探头超声声像图图像清晰,解剖层次分明,对婴幼儿卵巢肿瘤的诊断及鉴别诊断具有重要价值。Purpose To explore the value of high frequency convex ultrasound probe in the diagnosis of ovarian tumor in infants and young children. Materials and Methods Sixty-nine infants and young children with ovarian tumor were examined with high frequency convex ultrasound probe, and the ultrasound findings were analyzed. Results Out of 69 cases, 45 had tumors on the right side of ovary and the rest 24 on the left side; 27 cases of simple cyst, 24 cases of benign teratoma, 9 cases of borderline teratoma, 3 cases of serous cystadenoma, 3 cases of mucous cystadenoma, 3 cases of yolk sac tumor, 24 accompanied with torsion or necrosis. The ultrasound of ovarian tumor presented the tbllowing features： polycystic structures were common; the strong echo posterior acoustic shadow was not obvious; no specific manifestation was shown to distinguish benign from malignant tumors. Doppler ultrasound of tissues around the tumor was significant in detecting ovarian tumor torsion and necrosis. Conclusion High frequency convex ultrasound probe can provide clear images and distinct dissection information, which is beneficial in diagnosis and differential diagnosis of ovarian tumor in infants and young children.

关 键 词：卵巢肿瘤 超声检查 高频凸阵探头 婴儿 儿童 学龄前 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]