经阴道与经腹部超声诊断卵巢囊肿蒂扭转的对比性分析

目的探讨经阴道超声对卵巢囊肿蒂扭转的诊断价值。方法对47例住院病例经手术证实为卵巢囊肿蒂扭转的超声检查结果进行回顾性分析，对比分析经阴道与经腹部超声检查结果，并与手术结果及病理结果进行对照。结果47例超声检查均能发现卵巢肿块，其中经阴道超声检查24例，发现扭转蒂部21例，准确率87．5％，3例因肿块巨大（平均直径〉10cm）未能发现扭转蒂部后经腹部检查发现，经腹部超声检查26例，发现扭转蒂部18例（包括经阴道超声检查漏诊的3例巨大肿块），准确率69．2％。结论超声对卵巢囊肿蒂扭转具有诊断价值，经阴道超声检查在中等大小或偏小的卵巢囊肿蒂扭转诊断中具有优越性，在巨大的卵巢囊肿蒂扭转中经阴道结合经腹部检查诊断价值更高。

Comparative Analysis of Transvaginal and Abdominal Ultrasound in Diagnosis of Ovarian Cyst Torsion

Objective To explore the diagnostic value of ovarian cyst torsion by transvaginal ultrasound. Methods Results of ultrasound examination in 47 hospitalized patients with ovarian cyst torsion confirmed by operation were analysed retrospectively. The results of transvaginal and abdominal ultrasound examination were analyzed contrastively .The results of ultrasound were compared with operation and pathological results. Results All 47 cases of ovarian tumor were found by ultrasound. 24 cases were examined by transvaginal ultrasound,21 cases of which were diagnosed ovarian cyst torsion and 3 cases of which were miss diagnosed because of the huge mass （mean diameter 〉 10cm ）. The accurate rate was 87.5%. 26 cases were examined by abdominal ultrasound, 18 cases of which were diagnosed ovarian cyst torsion, including 3 cases of huge mass miss diagnozed by transvaginal ultrasound. The accurate rate was 69.2%. Conclusion Ultrasound has diagnostic value on ovarian cyst torsion. Transvaginal ultrasonography has superiority in diagnosis of medium-size or smaller size tumor. Transvaginal combined with abdominal examination has higher value on diagnosis of huge ovarian cyst torsion.