卵巢黄体破裂的彩色多普勒超声图像特征  

Color Doppler Sonography Imaging Characteristics for Ruptureof Ovarian Corpus Luteum

作　　者：邝海燕 肖萤[1] 

机构地区：[1]中南大学湘雅医院超声影像科,湖南长沙410008

出　　处：《医学临床研究》2015年第3期560-562,共3页Journal of Clinical Research

摘　　要：【目的】探讨卵巢黄体破裂的彩色多普勒超声影像学特征。【方法】收集均经术后病理检查或保守治疗追踪观察确诊的卵巢黄体破裂患者107例，所有患者均行彩色多普勒超声检查，分析107例患者的彩色多普勒超声图像特征。【结果】107例患者中超声诊断卵巢黄体破裂93例，漏诊10例，误诊4例，诊断准确率为86．9％（93／107），漏诊率9．4％（10／107），误诊率3．7％（4／107）。不同类型黄体破裂肿块的超声影像学特征：①Ⅰ型囊肿型27例，可见较规则的黄体囊肿，边界尚清楚，内夹有纤细的光条、弱光点及少量弱回声光斑，可呈网格状，部分肿块周边可见卵巢组织声像及低回声带或液暗区包绕；②Ⅱ型以囊性为主的混合包块型23例，肿块形态不规则，边界不清楚，见较多的凝血块附着，卵巢组织显示不清。③Ⅲ型低‐高回声团块型（包括Ⅲa及Ⅲ b ）57例，Ⅲa型可见较规则的黄体结构，边界尚清楚，尚规则，周边可见卵巢组织包裹。Ⅲb型边界不清楚，不规则，内为低‐高回声，分布紊乱，盆腔结构显示不清，可将卵巢包裹其中。【结论】卵巢黄体破裂具有彩色多普勒超声图像特征，因其检查简便、无创，是诊断卵巢黄体破裂首选方法。[Objective] To explore the color Doppler sonography imaging findings for rupture of ovarian corpus luteum .[Methods] A total of 107 hospitalized patients with a rupture of ovarian corpus luteum from 2011~2013 were collected .All cases were confirmed by postoperative pathological examination and observed after conservative treatments .Color Doppler ultrasonography was performed at our hospital and their imaging characteristics were summarized .[Results] Among them ,93 （86 .9% ） were diagnosed with ovarian corpus luteum rupture .And the diagnosis was missed （ n =10 ,9 .4% ） and mistaken （ n =4 ,3 .7% ） .Their ultrasonic imaging findings were di‐vided into there types of I （cystic ,n=27） ,Ⅱ （cystic mixed mass ,n=23） and Ⅲ （low‐high echo mass ,n=57） . And there were types Ⅲa （ n=13） and Ⅲb （ n=44） .[Conclusion]Color Doppler ultrasonography is a preferred noninvasive modality of diagnosing rupture of ovarian corpus luteum .

关 键 词：黄体 卵巢疾病/超声检查 超声检查 多普勒 彩色 

分 类 号：R445.12[医药卫生—影像医学与核医学]