卵巢甲状腺肿超声诊断与误诊分析

目的 探讨卵巢甲状腺肿(SO)的超声声像学表现特征,以提高超声对SO临床诊断价值。方法 回顾性分析我院2010年1月～2019年10月经手术病理证实7例SO超声声像图资料,并结合病理分析误诊的原因。结果6例表现为多房囊实性混合回声包块,1例为单囊性肿块。囊性部分各房腔回声不均匀,部分囊腔透声比膀胱内液体透声差;实性部分位于各囊腔之间,实性部分呈蜂窝状稍高回声并可探及较丰富血流回声。结论 SO超声表现具有一定特征,如囊性部分透声比膀胱内液体差;实性部分位于各囊腔之间,且呈蜂窝状稍高回声并探及丰富血流回声等,有助于提高诊断准确性。

Ultrasonographic diagnosis and misdiagnosis of struma ovarii

Objective To explore the characteristics of ultrasound sonography of struma ovarii (SO) in order to improve the value of ultrasound in the diagnosis of SO.Methods A total of 7 cases of SO ultrasound image data confirmed by surgical pathology in our hospital from January 2010 to October 2019 were retrospectively analyzed,and the cause of misdiagnosis was analyzed in combination with pathological analysis.Results Six cases showed multi-room cystic solid mixed echogenic mass,and one case was monocystic mass.The cystic part had uneven echo in each chamber,and some of the cysts had less sound transmission than the liquid in the bladder.The solid part was located between the cysts,and the solid part was honeycomb-like with slightly higher echo and could detect more abundant flow echo.Conclusion SO ultrasound has certain characteristics,for example that the cystic part is less permeable than the bladder fluid,the solid part is located between each cyst cavity,and it is slightly honeycomb-like with high echo and probes and enriches blood flow echo,etc.,which helps to improve diagnostic accuracy.