超声对卵巢成熟性畸胎瘤的诊断价值

①目的探讨超声对成熟性畸胎瘤的诊断价值。②方法回顾分析96例手术切除的成熟性畸胎瘤的术前声像图特征。③结果96例中,术前超声诊断符合率92.7%(89/96),误诊率5.2%(5/96),漏诊率2.1%(2/96)。彩色多普勒血流显像未见血流信号。④结论卵巢成熟性畸胎瘤声像图有其特征性,有特征性表现者,超声诊断多无困难,是诊断卵巢成熟性畸胎瘤的首选方法,但还应与相似回声的病变相鉴别。     

卵巢囊性畸胎瘤的超声诊断分析

目的探讨超声对卵巢囊性畸胎瘤的诊断价值。方法对比分析98例18个经手术及病理证实的卵巢囊性畸胎瘤的超声表现特征与术前诊断,并对漏、误诊原因进行探讨。结果98个卵巢囊性畸胎瘤超声诊断正确者84例,诊断符合率为85．7％;误诊10例,误诊率10．2％;漏诊4例,占4．1％;发生在单侧78例,发生在双侧20例;畸胎瘤最大者16．2cm×15．4cm×12．1cm,最小者3．5cm×3．3cm×3．0cm。结论超声对卵巢畸胎瘤有重要的诊断价值,对由多种组织构成的畸胎瘤超声诊断无困难,由单一组织构成的畸胎瘤和伴发其它疾病时,超声诊断有一定的难度。     

超声检查在卵巢囊性畸胎瘤诊断中的价值

目的探查超声对卵巢囊性畸胎瘤的诊断价值。方法回顾分析经手术及病理证实的49例卵巢囊性畸胎瘤的声像图特征。结果49例畸胎瘤中经超声正确诊断45例,符合率为91.8%。漏诊及误诊各2例,占8.2%。结论超声在诊断卵巢囊性畸胎瘤上具有重要价值,为临床提供可靠信息。     

卵巢畸胎瘤的两种超声诊断与误诊分析

目的探讨卵巢畸胎瘤的超声诊断价值。方法回顾性分析经手术治疗46例良性卵巢畸胎瘤的临床资料及病理学结果。结果超声诊断与术后病检符合准确率达93.48%,其中成熟畸胎瘤43例。子宫内膜异位囊肿1例,卵巢黏液性乳头状瘤1例,卵巢甲状腺肿1例,误诊率为6.52%。结论卵巢畸胎瘤发病率高,超声检查卵巢畸胎瘤准确率高。     

超声对卵巢畸胎瘤诊断及鉴别诊断的价值分析

目的探讨超声在卵巢畸胎瘤的诊断及鉴别诊断中的价值。方法回顾性分析58例经手术病理学检查证实为卵巢畸胎瘤患者的临床资料,对照分析术前超声诊断及声像图特征。结果超声诊断与术后病理学诊断符合率为80．7％．彩色多普勒超声检查绝大多数成熟性畸胎瘤内部和周围未见血流信号。结论超声对卵巢畸胎瘤检查有较高的特异性,具有很高的实用价值。     

超声诊断青少年卵巢良性畸胎瘤2例

例１：女,１８岁,主因下腹疼痛３天入院。患者于２天前洗澡后突然下腹疼痛,可忍受,未经治疗,次日上午疼痛加重,即在当地就诊,治疗后疼痛减轻。病后第三天中午休息时突然下腹剧痛即来院。妇科检查：未婚外阴,外观正常,处女膜完整。肛门指诊：子宫、附件触及不满意。彩超所见：于子宫上方可见一 ８．７ × ７． ６ × ６． ５ ｃｍ的囊性肿物,边界清楚,形态规整,壁较厚,光滑,囊内可见３个强回声团附着于壁上、许多强回声光带。提示：卵巢囊性占位病变（卵巢畸胎瘤,蒂扭转？）。手术所见：右侧卵巢呈囊性,大小约 ８．０ ×６…     

超声在卵巢畸胎瘤诊断及鉴别诊断中的价值

目的 探讨超声在卵巢畸胎瘤诊断及鉴别诊断中的价值.方法 对手术和病理证实的82例卵巢畸胎瘤的声像图进行分析.结果 82例经超声诊断67例,符合率为81.7%.声像图分为3种类型、混合型、混合型、类实物肿物型.彩色多普勒(CDFI)捡查,绝大多数成熟性巢畸胎瘤肿块内部和周围未见血流信号.结论 超声检查对卵巢畸胎瘤的诊断及鉴别诊断有很高的价值.     

超声在卵巢囊性畸胎瘤的诊断价值

总结B超检查25例囊性畸胎瘤患者.经手术及病理对照证实,超声诊断符合率84%,由此可见B超检查可作为卵巢囊性畸胎瘤的首选检查方法.遇有肿瘤形态不规则,内部回声杂乱,近期迅速增大,有腹水征象者,应考虑恶变可能.故一旦发现,尽早手术.由于超声检查诊断卵巢囊性畸胎瘤具有可重复性,患者无痛苦诊断率高等优点,因此在临床上有重要的应用价值.     

超声在卵巢囊性畸胎瘤的诊断价值

本文报道了B超检查25例囊性畸胎瘤患者。经手术及病理对照证实,超声诊断符合率84%,由此可见B超检查可作为卵巢囊性畸胎瘤的首选检查方法。遇有肿瘤形态不规则,内部回声杂乱,近期迅速增大,有腹水征象者,应考虑恶变可能。故一旦发现,尽早手术。由于超声检查诊断卵巢囊性畸胎瘤具有可重复性,患者无痛苦诊断率高等优点,因此在临床上有重要的应用价值。     

51例卵巢畸胎瘤超声诊断分析

本文对我院 1 997年 1月～ 2 0 0 1年 1 2月通过经腹超声诊断并经手术病理证实的 5 1例卵巢畸胎瘤进行回顾性分析 ,以探讨其声像图特征及诊断价值。1　资料与方法1 .1　一般资料 :5 1例均为我院住院患者 ,年龄 1 8～ 42岁。 40例无症状 ,6例有下腹不适、月经失调、腹部包块 ,5例出现急腹症。1 .2　方法 :使用荷兰 PHILIPS- SD80 0型及西门子Prima型超声诊断仪 ,探头频率 3.5 MHz,患者术前均经腹部超声检查。扫查内容 :子宫、附件 ,注意有无肿块、腹水 ,探测到盆腔肿块时记录肿块形态、边界、内部回声等 ,并测量其径线。术后全部标本送…     

卵巢囊性畸胎瘤的B超诊断分析

目的探讨卵巢囊性畸胎瘤的Ｂ超声像图特点。方法对１２１例卵巢畸胎瘤进行Ｂ超及手术病检。结果Ｂ超诊断与手术病检的符合率可达９０９％。结论Ｂ超对诊断卵巢囊性畸胎瘤有很重要的参考价值     

经直肠超声诊断未婚女性多囊卵巢综合征的临床价值

目的探讨经直肠超声对未婚女性多囊卵巢综合征诊断的临床应用价值。方法比较经腹部超声与经直肠超声诊断未婚女性多囊卵巢综合征的患者86例。结果经直肠超声检查对子宫内膜厚度、卵巢及卵泡显示率均明显高于经腹部超声检查。对卵泡数目及大小的比较,这两种检查方法差异有明显统计学意义(P<0.05)。经直肠超声诊断多囊卵巢综合征符合率(93.8%)明显高于经腹部超声(20%,P<0.05)。结论经直肠超声可提高未婚女性多囊卵巢综合征的诊断率,值得临床推广使用。     

卵巢囊性畸胎瘤的超声显像与病理分析

目的 进一步探讨不同病理类型卵巢囊性畸胎瘤的声像图特征,以提高诊断及鉴别诊断水平.方法 回顾我院2004年1月～2012年12月以来术前超声提示为卵巢囊性畸胎瘤的76例患者的声像图特征,并与术后病理诊断进行对比分析.结果 76例患者中,超声与术后病理相符69例（90.7%）,误诊7例（9.2%）.结论 卵巢囊性畸胎瘤由于其特有的组织成分使之具有典型的声像图特点,但其声像图的多样性、复杂性又易与其他卵巢肿物相混淆,通过反复进行声像图与术后病理对照分析,能提高超声诊断卵巢囊性畸胎瘤的准确性.     

腹腔镜与开腹手术治疗卵巢成熟畸胎瘤的对比分析

目的探讨腹腔镜手术治疗卵巢成熟畸胎瘤的临床价值。方法选取216例确诊成熟畸胎瘤患者,随机分为两组,观察组96例,行腹腔镜下畸胎瘤剥出术,对照组120例,行开腹畸胎瘤剥出术,对比观察两组术中术后情况。结果两组均成功完成手术,无需输血,无邻近器官损伤,术中术后均无手术并发症。两组手术时间、术中囊肿破裂率比较无显著性差异(P>0.05),观察组的术口大小、术中出血量、术后镇痛药使用率均小于对照组(P<0.01),术后禁食时间、肛门排气时间、术后住院时间均短于对照组(P<0.01)。两组术后复发率比较无显著性差异(P>0.05)。结论腹腔镜手术在卵巢良性畸胎瘤的治疗上较传统开腹手术具有明显的优越性,且安全性好,值得推广。     

阴道超声下卵巢呈多囊性改变52例临床观察

目的分析在阴道超声下表现为多囊卵巢患者的临床特点。方法对我院妇科52例在阴道超声下卵巢呈多囊性改变患者的临床资料进行分析,并根据是否合并长期无排卵或雄激素升高的临床和(或)生化依据分为多囊卵巢综合征(PCOS)组及非PCOS组,比较两组间卵巢形态学特征及代谢变化。结果52例患者中PCOS组33例,占63.5%;非PCOS组19例,占36.5%,其中高催乳素血症(HPRL)3例(5.8%),甲状腺功能减退2例(3.8%),单纯性肥胖3例(5.8%),卵巢肿瘤2例(3.8%),妊娠2例(3.8%),特发性血小板减少1例(1.9%),正常妇女6例(11.5%),其中4例3个月内曾服用过口服避孕药。PCOS组的双侧卵巢体积、卵泡数及体质指数(BMI)均大于非PCOS组,但两者相比差异无显著性;而PCOS组睾酮水平、黄体生成素/卵泡刺激素均明显高于非PCOS组,差异有显著性。结论引起卵巢呈多囊性改变的原因有多种,其中PCOS为主要原因,卵巢多囊性改变是机体多种功能性紊乱的最终结果,而不是中枢或局部的特异性疾病。     

Characteristics, diagnosis and treatment of hepatic metastasis of pure immature ovarian teratoma

Objective To analyze the characteristics of hepatic metastasis of pure immature ovarian te ratoma and explore its proper diagnosis and treatment.Methods Eighteen cases of hepatic metastasis of pure immature ovarian teratoma were incl uded in this study.The clinical stage, operation, chemotherapy and histopathol ogy of primary and secondary tumors as well as the data from long term follow-u ps were analyzed retrospectively.Results All of the hepatic metastatic tumors were located on the surface of the liver. 61.1% (11/18) of them were clinical stage Ⅲ and 44.4% (8/18) were grade 1 at first operation.The hepatic metastatic rate was 16.7% (3/18) in the standard adjuvant chemotherapy group but increased markedly to 31.2% (15/48) in the irre gular chemotherapy group.Auxiliary diagnostic methods could not indicate the c orrect results.The surgical resection rate of hepatic metastasis of pure immat ure ovarian teratoma was 94.4% (17/18).There were less complications in the g roup with tumor diameter less than 15 cm.The follow-up time ranged from 3 to 205 months with a mean of 20.9 months.The 3-year-survival rate was 77.8% (14/18), and mortality rate was 22.2%.The 5- and 10-year-survival rate was 55.6% (10/18) and 38.9% (7/18), respectively.The rate of loss in follow-up was 22.2% (4/18) and 38.9% (7/18), respectively, and one patient has survive d for more than 17 years.Conclusions The hepatic metastatic rate of pure immature ovarian teratoma could be decreased using standard adjuvant chemotherapy.Suitable surgical treatment could reduc e complications and improve the prognosis for patients.     

三维腔内超声在多囊卵巢综合征诊断中的应用

To evaluate the application of intracavitary three-dimensional ultrasonography in the diagnosis of polycystic ovary syndrome ( PCOS). The three-dimensional volumes of ovary were measured by intracavitary ultrasonography in 40 PCOS patients and 40 normal controls. The diagnostic value of parameters derived from three-dimensional ultrasonography was evaluated by using the receiver operating characteristic (ROC) curve. The ovarian volume, stromal volume, and the stromal/total volume ratio in PCOS group were significantly higher than those in control group (both P ＜ 0. 05 ) ; the area under ROC curve ( AUC ) of them were 0. 876, 0. 926, 0. 886 respectively. Among these parameters, stromal volume had the highest diagnostic value for PCOS, the cut-off value of which was 7.52 cm3 with a sensitivity of 88% and a specificity of 90%. Volume parameters of ovary measured by intracavitary three-dimensional ultrasonography can offer quantitative information for the diagnosis of PCOS.     

三维腔内超声在多囊卵巢综合征诊断中的应用

To evaluate the application of intracavitary three-dimensional ultrasonography in the diagnosis of polycystic ovary syndrome ( PCOS). The three-dimensional volumes of ovary were measured by intracavitary ultrasonography in 40 PCOS patients and 40 normal controls. The diagnostic value of parameters derived from three-dimensional ultrasonography was evaluated by using the receiver operating characteristic (ROC) curve. The ovarian volume, stromal volume, and the stromal/total volume ratio in PCOS group were significantly higher than those in control group (both P ＜ 0. 05 ) ; the area under ROC curve ( AUC ) of them were 0. 876, 0. 926, 0. 886 respectively. Among these parameters, stromal volume had the highest diagnostic value for PCOS, the cut-off value of which was 7.52 cm3 with a sensitivity of 88% and a specificity of 90%. Volume parameters of ovary measured by intracavitary three-dimensional ultrasonography can offer quantitative information for the diagnosis of PCOS.     

经阴道超声对多囊卵巢综合征的诊断价值

目的：探讨彩色多普勒超声对多囊卵巢综合征（PCOS）的诊断价值。方法：对43例PCOS患者（PCOS组）和25例月经周期规则有止常排卵者（对照组）进行经阴道二维及彩色多普勒超声检查，观测其卵巢体积（OV）、卵泡数目（FN）、卵巢间质内血流形态特征及其血流动力学指标，并进行对比分析。结果：PCOS组的卵巢体积、卵泡数目大于对照组，差异有统计学意义（P〈0．001）；收缩期峰值流速（PSV）高于对照组，差异有统计学意义（P〈0．01），而阻力指数（RI）、搏动指数（PI）低于对照组，差异有统计学意义（P〈0．001）。PCOS组卵巢间质内血管显示清晰、数量丰富（100％），其中91．9％的卵巢可见1支纵向贯穿卵巢间质的较粗血管，而对照组卵巢间质内血流呈散在点状。结论：经阴道二维及彩色多普勒超声对多囊卵巢综合征有较高的诊断价值。     

甲状腺癌的超声诊断分析

目的提高甲状腺癌的超声诊断符合率。方法回顾分析经手术病理证实的37例甲状腺癌的声像图表现,总结其声像特征。结果37例甲状腺癌肿块大小形态不一,大部分呈不均匀低回声,小部分呈等或混合回声;肿块边界多数不清,不规整,个别边界清楚;40.54%显示点状强回声微钙化,10%伴弧形或斑块状粗钙化。结论边界不清、不规整,内部呈不均匀低回声,并见点状强回声钙化是甲状腺癌较典型的二维声像特征,具有较大的诊断意义;特征不全者必须结合彩色多普勒血流成像,综合分析,才能提高甲状腺癌的正确诊断率。