超声诊断卵巢癌腹膜及大网膜转移

目的 探讨卵巢癌腹膜及大网膜转移的超声诊断价值.方法 对32例临床诊断卵巢癌患者术前行超声检查,观察其有无腹膜及大网膜转移.结果 术中发现28例腹膜转移,术前超声检出23例(82.14%);术中发现19例大网膜种植转移,术前超声检出15例(78.94%).卵巢癌腹膜转移的声像图特征为腹膜不均匀增厚,可见结节样病灶.大网膜转移灶超声声像图表现为实性回声、囊实混合性回声、腹腔内孤立或散在多发实性小结节.结论 术前超声可对卵巢癌有否腹膜及大网膜转移进行预测.

Ultrasonographic diagnosis of peritoneal and greater omental metastases in patients with ovarian cancer

Objective To explore the diagnostic value of ultrasound for peritoneal and greater omental metastases in patients with ovarian cancer. Methods Uultrasound examination were performed before the operation in 32 patients who were clinically diagnosed as ovarian cancer, in order to detect peritoneal or greater omental metastases. Results Pre-operation ultrasound detected 23 patients of peritoneal metastases and 15 of greater omental metastasis. Totally 28 patients were fopund with peritoneal or greater omental metastases in surgical operation, and the dection rate of ultrasound in peritoneal and greater omental metastases was 82.14% (23/28) and 78.94% (15/19), respectively. Unevenly thickened peritoneum with nodulars in ultrasonography indicated peritoneal metastasis in patients with ovarian cancer. Ultrasonographic characteristics of omental metastasis included solid echo, cystic lesion with solid component, intra-abdominal isolated or scattered in multiple solid nodulars. Conclusion Preoperative ultrasound can predict the peritoneal and greater omental metastases in patients with ovarian cancer.