超声检查老年妇女盆腔病变的临床价值  

Clinical Value of Ultrasonography in the Diagnosis of Elderly Women with Pelvic Lesions

作　　者：肖贤[1] 张恒[1] 周盼妍 郭志伟[1] 

机构地区：[1]暨南大学附属珠海市人民医院超声科,广东珠海519000

出　　处：《中外医疗》2014年第11期26-27,共2页China & Foreign Medical Treatment

摘　　要：目的探讨超声检查在老年妇女盆腔病变中的临床价值。方法回顾性分析82例老年妇女患者盆腔病变的临床资料。结果 82例经手术及病理证实的病例中,子宫内膜增生过长38例,子宫内膜息肉5例,子宫内膜癌6例,子宫肌瘤19例,良性卵巢肿瘤9例,恶性卵巢肿瘤5例。术前超声检查提示子宫内膜厚度>5 mm 38例,子宫腔内有占位性突出团块或不均质混合型回声11例,子宫肌瘤19例,卵巢囊性肿瘤9例,卵巢实性及囊实性肿瘤5例。超声检查对盆腔病变呈病理性改变的阳性预测率为100%。结论超声检查在老年妇女盆腔病变的预防及诊断中,具有较大的临床价值。Objective To discuss the clinical value of ultrasonography in the diagnosis of elderly women with pelvic lesions. Methods The clinical data of 82 cases of elderly women with pelvic lesions were analyzed retrospectively. Results Of the 82 cases confirmed by surgery and pathology, there were 38 cases of endometrial hyperplasia, 5 cases of endometrial polyps, 6 cases of en-dometrial cancer, 19 cases of uterine myoma, 9 cases of ovary benign tumors, 5 cases of ovary malignant tumors. There were 38 cases with the thickness of endometrium〉5 mm, 11 cases with space-occupying clumps or heterogenous mixed echo in the uterine cavity, 19 cases with uterine myoma, 9 cases with ovary fluid tumors, 5 cases with ovary solid /solid and fluid tumors showed by the ultrasound diagnosis preoperative. The positive predictive rate of which the pelvic lesions present to the pathological changes was 100%. Conclusion Ultrasonography has great clinical value in the diagnosis and prevention of elderly women with pelvic le-sions.

关 键 词：超声 老年妇女 盆腔病变 

分 类 号：R445[医药卫生—影像医学与核医学]