摘要
目的探讨二维超声及彩色多普勒血流显像技术术前诊断卵巢卵泡膜细胞瘤的价值。方法回顾性分析51例手术52个病理证实的卵巢卵泡膜细胞瘤的超声和临床、病理结果。结果经病理诊断的卵巢卵泡膜细胞瘤超声检出率90.4%,平均直径9.25cm,小于5cm的超声检出率64.3%,大于5cm的超声检出率100%。肿瘤内血流不丰富或无,二维图像以实质性为主,可出现囊实性和囊性三种。蒂扭转发病19.1%,伴腹水54.9%,子宫肌瘤21.6%,CA125升高37.2%。结论卵泡膜细胞瘤的临床特点结合二维超声图像及血流特点对术前确定诊断有一定参考价值。
Objective To investigate the value of two-dimensional ultrasonography and color Doppler flow imaging in the preoperative diagnosis of ovarian thecoma. Methods Fifty-two ovarian samples were collected from 51 patients who underwent ultrasonography preoperatively and were diagnosed as having ovarian thecoma by pathological examination. The detection results of ultrasonography and pathology were retrospectively studied and compared. Results The detection rate of ovarian thecoma was 90.4% in ultrasonography, and the average diameter of the thecoma was 9.25 cm. The detection rate was 64.3% in the thecomas with diameters less than 5 em and 100% in those with diameters more than 5 em. The blood flow signal in the thecoma reduced or disappeared. Most of the imagings were solid, and the others were semicystic or cystic. Complications were twisted pedicle in 19.1% cases,ascites in 54.9% cases,or myoma of uterus in 21.6% cases. CA125 in- creased by 37.2%. Conclusion The two-dimensional ultrasonography combined with the clinical characteristics and blood flow imaging is valuable in the preoperative diagnosis of ovarian thecoma.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2008年第6期831-833,共3页
Journal of China Medical University
