首页|两种彩超检查方式对卵巢囊肿蒂扭转的诊断价值研究

两种彩超检查方式对卵巢囊肿蒂扭转的诊断价值研究

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目的 研究经腹部彩超、经阴道彩超检查方式诊断卵巢囊肿蒂扭转的临床价值.方法 选取64例卵巢囊肿蒂扭转患者,均通过手术与病理检查后确诊.全部患者于术前进行经腹部彩超诊断与经阴道彩超诊断,比较两种彩超检查的诊断准确率.结果 经阴道彩超诊断准确率为95.3%,高于经腹部彩超的82.8%(P<0.05).经阴道彩超检查误诊率明显低于经腹部彩超检查(P<0.05).经阴道彩超影像图可以看到囊肿附近有大小不一的包块与囊性肿块,扭转蒂血管存在较强信号,与腹部连接的肿块表现出显著的移动性.经腹部彩超影像图可以看到囊肿部位存在较强的混合性回声,就肿块类型来看,主要是实性肿块或单纯无回声肿块,且大部分肿块在下腹部,直径>5.6 cm,内部透视性不好,存在明显的游离液体暗区.结论 与经腹部彩超相比,经阴道彩超对卵巢囊肿蒂扭转的诊断准确率更高,具有临床应用价值.
Study on diagnostic value of two kinds of color ultrasonography in torsion of ovarian cyst pedicle
Objective To study the clinical value of abdominal and vaginal color ultrasonography in diagnosing torsion of ovarian cyst pedicle.Methods 64 cases of torsion of ovarian cyst pedicle were selected,all of which were confirmed by operation and pathological examination.All patients were diagnosed by transabdominal and transvaginal color ultrasonography before surgery,and the diagnostic accuracy of the two kinds of ultrasonography was compared.Results The diagnostic accuracy of transvaginal ultrasonography was 95.3%,higher than that of transabdominal ultrasonography(82.8%)(P<0.05).The misdiagnosis rate of transvaginal ultrasonography was significantly lower than that of transabdominal ultrasonography(P<0.05).Transvaginal color ultrasound images showed mass of different sizes and cystic masses near the cyst,strong signals in the torsion pedicle vessels,and significant mobility in the masses connected to the abdomen.Abdominal color ultrasound images showed strong mixed echoes at the cyst site.In terms of mass types,mainly solid masses or simple echoless masses,and most of the masses were in the lower abdomen,with a diameter of >5.6 cm,poor internal fluoroscopy,and obvious free fluid dark areas.Conclusion Compared with transabdominal color ultrasound,transvaginal color ultrasound is more accurate in diagnosing torsion of ovarian cyst pedicle and has clinical application value.

Torsion of ovarian cyst pedicleColor ultrasound inspectionDiagnostic value

黄丽

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江油市九○三医院 超声科,四川 绵阳 621700

卵巢囊肿蒂扭转 彩超检查 诊断价值

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(1)
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