卵巢甲状腺肿的超声表现分析  

作　　者：葛晓莉 周一波[1] 张宾 楼叶琳 

机构地区：[1]浙江省金华市中心医院,321000

出　　处：《浙江临床医学》2024年第10期1533-1535,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省自然科学基金资助项目(LSY19H180006);浙江省医药卫生科技计划项目(2021KY386)。

摘　　要：目的探讨卵巢甲状腺肿的超声声像图特征。方法回顾性分析18例经手术病理证实的卵巢甲状腺肿的超声声像图及临床资料。结果卵巢甲状腺肿(SO)声像图表现:多房囊性4例,分隔厚薄不均,各房腔回声不均,2例囊腔内探及无血流信号“白球样”高回声团;单房囊实性1例,囊性成分为主,囊壁探及“乳头状”中等回声突起伴低阻血流信号;多房囊实性12例,实性成分比例不等,呈“乳头状”“分隔增厚样”及“面团状”中等回声影伴血流信号,部分囊腔内探及无血流“白球样”及“絮状”高回声团及“结晶样”强回声斑;实性1例,高回声伴血流,内见“蛋壳样”强回声伴声影。其中6例超声造影表现为囊壁、分隔及实性成分均见对比剂灌注,为高增强,呈“快进快出”表现。结论卵巢甲状腺肿以多房囊性及多房囊实性主要特征性改变,甲状腺肿则以实性、分隔或囊壁见点状、蛋壳样或弧形钙化灶为主。Objective To investigate the ultrasonographic features of struma-ovarii(SO).Methods The ultrasonographic and clinical data of 18 patients with SO confirmed by operation and pathology were analyzed retrospectively.Results The sonographic findings of SO were as follows:multilocular cystic lesions were found in 4 cases,with uneven septum thickness and uneven echo in each chamber;there was one case of solid cyst,cystic component was the main component.The wall of the cyst was found with"papillary"medium echo process with low resistance blood flow signal;there were 12 cases of multilocular cystic solid with different proportion of solid components,showing"papillary","septal thickening"and"dough like"moderate echo shadow with blood flow signal.Some cystic cavities showed no"white ball"and"flocculent"hyperechoic masses and"crystal like"hyperechoic spots;solid 1 case,hyperechoic with blood flow,internal see"eggshell"strong echo with sound shadow.Among them,6 cases showed contrast agent perfusion in cystic wall,septum and solid components,which was high enhancement and showed"fast in and fast out"performance.Conclusion SO is more common in multilocular cystic and multilocular cystic solid.The possibility of goiter should be considered if there are"papillary","thickened septate"and"dough like"solid components with blood flow distribution in the tumor,white ball like or"flocculent"hyperechoic mass and"crystal like"hyperechoic spots without blood flow signal in the cystic cavity,and punctate,eggshell or arc-shaped calcification foci in solid components,septum or cystic wall should be considered.

关 键 词：卵巢肿瘤 甲状腺肿 超声 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]