探讨“双肿块”超声征象在诊断卵巢肿瘤蒂扭转的价值  被引量:1

To Explore the Value of“Double Mass”Ultrasonic Signs in the Diagnosis of Ovarian Tumor with Pedicle Torsion

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作  者:王小玲 黄日升[2] Wang Xiaoing;Huang Risheng(Abdominal color ultrasound room,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian 362000;Imaging Department,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian 362000)

机构地区:[1]福建医科大学附属泉州第一医院腹部彩超室,福建泉州362000 [2]福建医科大学附属泉州第一医院影像科,福建泉州362000

出  处:《现代医用影像学》2023年第5期833-836,共4页Modern Medical Imageology

摘  要:目的:探讨“双肿块”超声征象在诊断卵巢肿瘤蒂扭转的可行性及临床意义。资料与方法:回顾性分析2020年2月至2021年12月经手术及病理证实为卵巢肿瘤合并蒂扭转25例,并且术前2周内均行超声检查,分析其超声图像特征。结果:25例中超声图像存在“双肿块”征象共22例(88%),其中1例误诊为附件区多发肿物,另21例(84%)均能考虑到卵巢肿瘤合并蒂扭转,余3例患者超声图像中未发现“双肿块”征象。22例患者扭转的蒂有3种超声表现:(1)低回声圆形结节3例(12%);(2)条索状、团状低回声13例(52%);(3)“旋涡状低”回声6例(24%)。结论:“双肿块”超声征象能提高诊断卵巢肿瘤蒂扭转的敏感性和特异性。Purpose:To explore the feasibility and clinical significance of"double mass"ultrasonic signs in the diagnosis of ovarian tumor pedicle torsion.Materials and methods:25 cases of ovarian tumor with pedicle torsion confirmed by surgery and pathology from June 2019 to December 2021 were retrospectively analyzed,and their ultrasonic image characteristics were analyzed.Results:Among the 25 cases,there were 22 cases(88%)with"double mass"signs in the ultrasonic images,of which 1 case was misdiagnosed as multiple tumor in the adnexal area,and the other 21 cases(84%)could consider ovarian tumor with pedicle torsion,and the remaining 3 cases did not find"double mass"signs in the ultrasonic images.The twisted pedicle of 22 patients had three ultrasonic manifestations:1.hypoechoic round nodules in 3 cases(12%);2.There were 13 cases of strip and mass hypoechoic(52%);3."Vortex low"echo in 6 cases(24%).Conclusion:"Double mass"ultrasonic signs can improve the sensitivity and specificity of diagnosing ovarian tumor pedicle torsion.

关 键 词:超声检查 “双肿块”征象 卵巢肿瘤 蒂扭转 

分 类 号:R445.1[医药卫生—影像医学与核医学] R737.31[医药卫生—诊断学]

 

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