卵巢扭转常规超声表现  

Conventional ultrasonic manifestations of ovarian torsion

作　　者：刘伟[1] 钱林学[1] 林颖奇[1] LIU Wei;QIAN Linxue;LIN Yingqi(Department of Ultrasound,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院超声科,北京100050

出　　处：《中国介入影像与治疗学》2024年第4期229-231,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察卵巢扭转的常规超声表现。方法回顾性分析32例经手术证实的卵巢扭转,观察其常规超声表现。结果32例中,6例为原发性卵巢扭转,26例继发于卵巢肿物。常规超声中,8例(8/32,25.00%)患侧卵巢不同程度增大、内部回声不均匀;6例(6/32,18.75%)卵巢皮质内窦状卵泡呈放射状排列并见“滤泡环征”;10例(10/32,31.25%)卵巢位置异常;8例(8/32,25.00%)卵巢扭转蒂部见“漩涡征”;32例(32/32,100%)卵巢血流信号均减少。结论卵巢扭转常规超声表现具有一定特征性,包括患侧卵巢增大、位置异常,出现“滤泡环征“”漩涡征”及血流减少。Objective To explore the conventional ultrasonic manifestations of ovarian torsion.Methods Data of 32 cases of ovarian torsion confirmed by surgery were retrospectively analyzed.The conventional ultrasonic findings of ovarian torsion were observed.Results Among 32 cases,there were 6 cases of primary ovarian torsion and 26 cases of ovarian torsion secondary to ovarian masses.The affected ovaries enlarged in different degrees with uneven internal echo were found in 8 cases(8/32,25.00%),while antral follicles arranged radially in ovarian cortex and“follicular ring sign”in 6 cases(6/32,18.75%).Abnormal ovarian positions were found in 10 cases(10/32,31.25%),“whirlpool sign”in pedicle of ovarian torsion was detected in 8 cases(8/32,25.00%),while reduced ovarian blood flow was observed in all 32 cases(32/32,100%).Conclusion Ovarian torsion had some certain conventional ultrasonic characteristics,including enlargement of the affected ovary,abnormal ovarian positions,as well as“follicular ring sign”,“whirlpool sign”and reduced ovarian blood flow.

关 键 词：卵巢 扭转 囊肿 黄体 畸胎瘤 超声检查 

分 类 号：R711.75[医药卫生—妇产科学] R445.1[医药卫生—临床医学]