儿童及青春期卵巢硬化性间质瘤的超声诊断价值  

Value of Ultrasound in the Diagnosis of Ovarian Sclerosing Stromal Tumor in Childhood and Adolescence

作　　者：史鹏丽[1] 王丹[1] 国兰兰[1] 李颖[2] 马灵芝[1] 

机构地区：[1]中国医科大学附属第四医院超声科,辽宁省沈阳市110032 [2]中国医科大学附属盛京医院超声科

出　　处：《中国全科医学》2015年第12期1474-1476,共3页Chinese General Practice

摘　　要：目的探讨儿童及青春期卵巢硬化性间质瘤的超声诊断价值。方法回顾性分析2005年8月—2014年1月于中国医科大学附属第四医院及第二医院5例儿童及青春期卵巢硬化性间质瘤患儿的超声图像特征,均经术后病理证实。结果 5例肿块均来源于单侧卵巢:左侧3例、右侧2例,超声检查判断正确4例,另1例肿块体积较大,位于盆腹腔中部,超声未辨别出左右侧。肿块大小范围(6.6 cm×5.9 cm)^(15.6 cm×12.3 cm),肿块最大直径平均8.6 cm。5例肿块边界均清晰,呈类圆形或椭圆形,内部回声呈实性2例,呈囊实混合性3例,实性部分均呈中等回声,并显示血流丰富,以周边显著。1例伴发腹腔积液。结论儿童及青春期卵巢硬化性间质瘤的超声图像具有一定特点,为临床的诊断及鉴别诊断提供了重要的参考信息,可进一步提高儿科和超声科医生对儿童及青春期卵巢硬化性间质瘤的认识。Objective To explore the value of ultrasound in the diagnosis of ovarian sclerosing stromal tumor（ OSST）in childhood and adolescence. Methods The ultrasonic characters of five cases in the Fourth and Second Affiliated Hospital of China Medical University from August 2005 to January 2014 with OSST in childhood and adolescence were analyzed retrospectively,all cases were confirmed by postoperative pathologic results. Results The lumps of the five cases were from unilateral ovarian,lumps from three cases were located on the left hand side,lumps from two cases were located on the right hand side,ultrasonography result of four cases was right,lump of the rest one case was relatively big,it was located in middle abdominopelvic cavity,so ultrasonography did not identify the direction of the lump. The size range of lumps was（ 6. 6 cm × 5. 9cm）-（ 15. 6 cm × 12. 3 cm）,the average maximum diameter of the lump was 8. 6 cm. The lump boundary of five cases was clear,the shape of the lumps was round or nearly-circular,the echo inside the lumps of two cases was solid,the echo inside the lumps of three cases was mixed cystic-solid. The solid part of the lumps showed middle echoes,and had rich blood flow,the circumjacent part of the lumps was typical. One case had abdominal dropsy. Conclusion OSST in childhood and adolescence has some specific ultrasonic features. Ultrasonography can provid significant reference information for the clinical diagnosis and differential diagnosis of OSST, which can help pediatricians and ultrasound doctors to enhance understanding of OSST in childhood and adolescence.

关 键 词：超声检查 儿童 青春期 卵巢硬化性间质瘤 

分 类 号：R737.31[医药卫生—肿瘤]