经阴道及腹部彩超在43例卵巢囊肿蒂扭转中的诊断价值

实用临床医药杂志Journal of Clinical Medicine in Practice 2019年第23卷第11期

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经阴道及腹部彩超在43例卵巢囊肿蒂扭转中的诊断价值

何晓玲1,杜鹏辉2,王进1,吕静彳

(中国地质大学武汉医院，1超声科；2.妇科，湖北武汉，430074；

3.江汉油田总医院超声影像科，湖北潜江，433120)

摘要：目的研究经阴道及腹部彩超诊断卵巢囊肿蒂扭转的临床价值。方法选取本院收治的卵巢囊肿蒂扭转患者43例，均应用腹部超声和阴道超声检查，同时经病理及手术确诊且以病理诊断结果为金标准。观察并分析2种超声检查声像图表现、诊断结果和临床应用价值。结果43例患者的阴道超声检查准确率为93.00%，显著高于腹部超声检查的64.44%，差异有统计学意义(P<0.05)。2种检查方法均有少数患者被误诊为输卵管积水扭转、异位妊娠破裂、黄体囊肿破裂等，经阴道超声检查的误诊率和漏诊率分别为4.65%、2.33%，显著低于经腹超声检查的12.60%和13.95%，差异有统计学意义(P<0.05)结论经阴道超声检查诊断卵巢囊肿蒂扭转具有较好的临床价值，可有效发现病灶,诊断更为方便、准确，且其回声特征显著，适用于诊断偏小或中度蒂扭转病灶。

关键词：阴道超声；彩色多普勒超声；囊肿蒂扭转；卵巢囊肿；诊断价值

中图分类号：R744.63文献标志码：A文章编号：1672-2353(2019)11-066-04D0I：10.7619/jcmp.201911019

Value of transvaginal and abdominal color Doppler

ultrasonography in diagnosis of ovarian

cyst pedicte torsion in43cosev

HE Xiaoling1，DU Peeghui2，WANG Jin1，LYU Jing5

(1.Department of'Ultrasound； 2.Department of'Gynecology，Wuhan Hospital of China University

qf Geosciences，Wuhan，Hubei，435074； 3.Department af Ultrasound Imagine，Gnerat Hospital

of Jianghan OilfielO；Qianjinnn，Hubci,433124)

ABSTRACT：Objectivv To study thd clinicai valrd of traasvaginai and abdominai colon Douplda ultrasouni in thd diagnosiv of ovariaa cyst pedicld torsion.MetOode A total of43patiediv with ovanaa cyst torsion who undenvedi svann in oun hospith were edrolled.Ali these patiediv ua-denvedi abdominai ultrasouna ani vaginai ultrasonooragpy,and were diagnosed by patholooy and son in，tabina patholouicyi diaboosip co yolded stanaara.The sonouI■abPty perfomiaaca，diaboostty a-solto ani clinicai anplicatiou valud of thd two ultrasoun0examinatioos were oUsened ani analyzed.

Resvlte The bccyrbcy of vaninai ultrasououI■aahz in43ccssp wnv sinnificantlz山£山£1'thbo thnt of i-dominai lntnbououmppy(93.62%vv.67.44%，P<0.03 ).A few patiedip were mis0iaboosed nt hyZrosalpiaa torsioo，ruutura of ectopic preenaacy and ruutura of coraus luteem cysh The mis0iaboo-siv mie and missed diaanosia mie of000X1011ultrasounO were4.43%ani2.93%respectiveiz，whicO were sifniVcantiz lower thao H.66%ant13.95%mspectWviy in transabdominai ultrasounO (P<0.63).Conclusion Traasvaginai ultrasouourabPz hai00(x1clinical value in diagnosii of ovvo-iga cysi pedicle torsion，which can effectWaiy deted the lesion ani hai higher conveeieeca and gcca-raca.Ai the same time，it is soiwbie foe didgnosis of small on moUeraie pedicle torsion lesioui de-anuieotnhiodanouieahoahnanaheanihnai6

KEY WORDS:vaginal ultrasonnV；colon Dopplen ultrasonna；cysi pedicle torsion；ovangv cysti；diagvosttc value

卵巢囊肿是一种常见且多发的女性生殖系统显示，卵巢囊肿约占妇科良性肿瘤的25%。卵巢肿瘤,临床多见于育龄女性，相关统计学调查囊肿蒂扭转发病率约占卵巢囊肿的10%,患者

收稿日期：2619-62-26录用日期：2619-64-62