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; 杜鹏辉; 王进; 吕静

doi:10.7619/jcmp.201911019

经阴道及腹部彩超在43例卵巢囊肿蒂扭转中的诊断价值

Value of transvaginal and abdominal color Dopplerultrasonography in diagnosis of ovarian cyst pedicle torsion in 43 cases

摘要

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93.02%, 显著高于腹部超声检查的67.44%, 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18.60%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。

Abstract:
Objective To study the clinical value of transvaginal and abdominal color Doppler ultrasound in the diagnosis of ovarian cyst pedicle torsion.
Methods A total of 43 patients with ovarian cyst torsion who underwent surgery in our hospital were enrolled. All these patients underwent abdominal ultrasound and vaginal ultrasonography, and were diagnosed by pathology and surgery, taking pathological diagnosis as golden standard. The sonographic performance, diagnostic results and clinical application value of the two ultrasound examinations were observed and analyzed.
Results The accuracy of vaginal ultrasonography in 43 cases was significantly higher than that of abdominal ultrasonography (93.02% vs. 67.44%, P < 0.05). A few patients were misdiagnosed as hydrosalpinx torsion, rupture of ectopic pregnancy and rupture of corpus luteum cyst. The misdiagnosis rate and missed diagnosis rate of transvaginal ultrasound were 4.65% and 2.33% respectively, which were significantly lower than 18.60% and 13.95% respectively in transabdominal ultrasound (P < 0.05).
Conclusion Transvaginal ultrasonography has good clinical value in diagnosis of ovarian cyst pedicle torsion, which can effectively detect the lesion and has higher convenience and accuracy. At the same time, it is suitable for diagnosis of small or moderate pedicle torsion lesions because of its obvious echo characteristics.

HTML全文

参考文献(18)

施引文献

资源附件(0)